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Dr. Vijayalakshmi Shetty
Pediatric Dentist in De Pere, Wisconsin
NPI 1215094750

Vijayalakshmi Shetty is a Pediatric Dentist based in De Pere, WI and is specialized in Pediatric Dentistry. Vijayalakshmi Shetty practices in De Pere, WI. The NPI Number for Vijayalakshmi Shetty is 1215094750 and holds a License No. 5289 (Wisconsin).

The current practice location address for Vijayalakshmi Shetty is 534 Redbird Cir, De Pere, WI and can be reached out via phone at 920-336-4002 and via fax at 920-336-4112.

Location: 534 Redbird Cir, De Pere, WI, 54115-8785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215094750
Provider Name
Vijayalakshmi Shetty
Credential
Provider Entity Type
Individual
Gender
Female
Address
534 Redbird Cir, De Pere, WI, 54115-8785
Phone Number
920-336-4002
Fax Number
920-336-4112
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
534 Redbird Cir
City
De Pere
State
Wisconsin
Zip
54115-8785
Phone Number
920-336-4002
Fax Number
920-336-4112
person
Provider Business Mailing Address Details
Address
534 Redbird Cir
City
De Pere
State
Wisconsin
Zip
54115-8785
Phone Number
920-336-4002
Fax Number
920-336-4112
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
5289 (Wisconsin)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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