institution
Kenosha Oral Surgery, S.c.
Oral and Maxillofacial Surgery (Dentist) in Kenosha, Wisconsin
NPI 1710160486

Kenosha Oral Surgery, S.c. is a Oral and Maxillofacial Surgery (Dentist) based in Kenosha, WI and is specialized in Oral and Maxillofacial Surgery. Kenosha Oral Surgery, S.c. practices in Kenosha, WI. The NPI Number for Kenosha Oral Surgery, S.c. is 1710160486 and holds a License No. 4998015 (Wisconsin).

The current practice location address for Kenosha Oral Surgery, S.c. is 6707 39Th Ave, Kenosha, WI and can be reached out via phone at 262-658-3559 and via fax at 262-658-0276.

Location: 6707 39Th Ave, Kenosha, WI, 53144-1597
institution
Provider Profile Details
NPI Number
1710160486
Provider Name
Kenosha Oral Surgery, S.c.
Credential
Provider Entity Type
Organization
Address
6707 39Th Ave, Kenosha, WI, 53144-1597
Phone Number
262-658-3559
Fax Number
262-658-0276
Provider Enumeration Date
12/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6707 39Th Ave
City
State
Zip
53142-7125
Phone Number
262-658-3559
Fax Number
262-658-0276
person
Provider Business Mailing Address Details
Address
6707 39Th Ave
City
State
Zip
53142-7125
Phone Number
262-658-3559
Fax Number
262-658-0276
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
4998015 (Wisconsin)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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