| Kewaskum Family Dentistry | |
|
1204 Fond Du Lac Ave Kewaskum WI 53040-8954 | |
| (262) 626-2119 | |
| Not Available |
| Full Name | Kewaskum Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1204 Fond Du Lac Ave, Kewaskum, Wisconsin |
| Authorized Official Name and Position | Sara Klasinski (OWNER) |
| Authorized Official Contact | 2626262119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kewaskum Family Dentistry 1204 Fond Du Lac Ave Kewaskum WI 53040-8954 Ph: (262) 626-2119 | Kewaskum Family Dentistry 1204 Fond Du Lac Ave Kewaskum WI 53040-8954 Ph: (262) 626-2119 |
| NPI Number | 1558017426 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558017426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
J Dennis Connor Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 Fond Du Lac Ave, Kewaskum, WI 53040 Phone: 262-626-2119 Fax: 262-626-2110 | |
Stephen R. Van Ess, D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1053 Fond Du Lac Ave, Kewaskum, WI 53040 Phone: 262-626-8444 |