West Endodontic Group

NPI #1417284480 in Grafton, Wisconsin

Provider Information

NPI Number: 1417284480
Entity Type: Organization
Organization Name: West Endodontic Group
Primary Specialty: Dentist - Endodontics
Enumeration Date: Nov 11, 2009
Last Updated: Nov 11, 2009

Practice Location

Address: 1245 CHEYENNE AVE
Address 2: SUITE 104
City: Grafton
State: Wisconsin
ZIP Code: 53024-9323
Phone: (262) 377-2889

Authorized Official

Name: DR. KELLY NICOLE WEST, DDS
Title: OWNER
Phone: (262) 377-2668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Kelly Nicole West, DDS	Dentist - Endodontics	Grafton	AI Deep Dive
Mary Ann Campbell, DDS	Dentist - Endodontics	La Crosse	AI Deep Dive
Daniel G Ellenz, DDS	Dentist - Endodontics	La Crosse	AI Deep Dive
DR. Gary R Ries, D.M.D.	Dentist - Endodontics	Madison	AI Deep Dive

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Madison Endodontic Associates S.c	Dentist - Endodontics	Madison	AI Deep Dive

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