Kenosha Family Dentistry

NPI #1033941067 in Kenosha, Wisconsin

Provider Information

NPI Number: 1033941067
Entity Type: Organization
Organization Name: Kenosha Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 19, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 5707 75TH ST
City: Kenosha
State: Wisconsin
ZIP Code: 53142-3603
Phone: (262) 697-0321

Authorized Official

Name: DR. TEJPAL SINGH ATHWAL, DDS
Title: OWNER/EMPLOYEE
Phone: (262) 697-0321

Specialties & Taxonomy Codes

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

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