Individual
DR. DEBORAH ANN ARCHILLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
N63 W23401 MAIN ST., SUSSEX, WI 53089
(262) 246-6806
(262) 246-6892
Mailing address
N63 W23401 MAIN ST., PO BOX 229, SUSSEX, WI 53089
(262) 246-6806
(262) 246-6892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3374
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578625372
NPI # FOR TYPE 2 ENTITY
WI
Enumeration date
04/27/2009
Last updated
04/10/2019
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