DR. Jeffrey Lee Champion, DDS

NPI #1457479024 in Waupun, Wisconsin

Provider Information

NPI Number
1457479024
Entity Type
Individual
Name
DR. Jeffrey Lee Champion, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Mar 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
129 N MADISON STREET
City
Waupun
ZIP Code
53963-0188
Phone
(920) 324-2561

Specialties & Taxonomy Codes

Specialty
Dentist

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