DR. Kelly Marie Servais, DDS

NPI #1467891986 in Columbus, Wisconsin

Provider Information

NPI Number
1467891986
Entity Type
Individual
Name
DR. Kelly Marie Servais, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 18, 2013
Last Updated
Jun 18, 2013

Practice Location

Address
1501 PARK AVE
ZIP Code
53925-1618
Phone
(920) 623-5559

Specialties & Taxonomy Codes

Specialty
Dentist

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