SOUTHPORT PERIODONTICS

Periodontics

NPI: 1679064901Organization

Specialties, Licenses & Credentials

PeriodonticsPrimary

Dentist — Periodontics

Code: 1223P0300X

Contact & Hours

Address: 5021 WASHINGTON RD
KENOSHA, WI 53144
Phone: (262) 654-6770

Quick Facts

NPI: 1679064901
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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