NPI 1104942432

Bruce F Andrekus, Dds,sc

Organisation Public Health Dentistry Kenosha, WI

Practice location

Address: 3726 Roosevelt Rd, Kenosha, WI 53142-1900
Phone: (262) 652-7956

Authorised official

Name: Bruce Andrekus
Title: President
Phone: (262) 652-7956

Registered specialties

Public Health Dentistry Primary

Dental Providers Taxonomy 1223D0001X Licence 3650 (WI)

Other Dentist providers in Wisconsin →

Registry record

NPI: 1104942432
Entity type: Organization
NPI issued: 21 Mar 2007
Record last updated: 11 Jun 2013

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.