Kenneth Paul Ferentchak, DDS

NPI #1003914607 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1003914607
Entity Type: Individual
Name: Kenneth Paul Ferentchak, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1011 N MAYFAIR RD
Address 2: SUITE 303
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-3431
Phone: (414) 771-4480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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