NPI 1033941067

Kenosha Family Dentistry

Organisation General Practice Dentistry Kenosha, WI

Practice location

Address: 5707 75th St, Kenosha, WI 53142-3603
Phone: (262) 697-0321

Authorised official

Name: Tejpal Singh Athwal
Title: Owner/Employee
Phone: (262) 697-0321

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1033941067
Entity type: Organization
NPI issued: 19 Aug 2024
Record last updated: 19 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.