DR. Jon J. Sisulak, D.D.S.,M.S
NPI #1508999616 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1508999616
- Entity Type
- Individual
- Name
- DR. Jon J. Sisulak, D.D.S.,M.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S.,M.S
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6160 S 108TH ST
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-2525
- Phone
- (414) 425-2410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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|---|---|
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