NPI 1043364144

Julie a Bloy, DDS

Practitioner General Practice Dentistry Jackson, WI

Practice location

Address: W213n16755 Glen Brooke Dr, Jackson, WI 53037-9489
Phone: (262) 677-4990
Fax: (262) 677-9280
Mailing address: W213n16755 Glen Brooke Dr PO Box 37, Jackson, WI 53037-9489

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4260-015 (WI)

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Registry record

NPI: 1043364144
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2007
Record last updated: 8 Jul 2007

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.