Individual
JUSTIN MICHAEL SERVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2830 DARLING CT, LA CROSSE, WI 54601-2754
(608) 783-7330
Mailing address
4702 CREEKWOOD LN APT 304, MADISON, WI 53704-2482
(608) 790-0200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
600131415
WI
Other
Enumeration date
07/28/2023
Last updated
10/17/2024
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