Individual
KATELYN COLLELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
227071 HUMMINGBIRD RD, WAUSAU, WI 54401-3332
(715) 845-3200
Mailing address
3325 N 12TH ST, WAUSAU, WI 54403-2315
(715) 297-1209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002598-15
WI
Other
Enumeration date
05/18/2021
Last updated
07/05/2021
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