NPI 1003229287

Julia Elizabeth Kennedy, DDS

Practitioner Dentist Wauwatosa, WI

Practice location

Address: 11819 W Diane Dr, Wauwatosa, WI 53226-3348
Phone: (262) 894-6230

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 7247-15 (WI)

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Registry record

NPI: 1003229287
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2014
Record last updated: 27 Oct 2014

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.