Individual
DR. DALE ROTTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
212 GREEN BAY RD, THIENSVILLE, WI 53092-1670
(262) 242-6401
Mailing address
212 GREEN BAY RD, THIENSVILLE, WI 53092-1670
(262) 242-6401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001822
WI
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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