DR. Stephen L Kellogg, DDS

NPI #1760495196 in Oregon, Wisconsin

Provider Information

NPI Number: 1760495196
Entity Type: Individual
Name: DR. Stephen L Kellogg, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 150 E LINCOLN ST
City: Oregon
State: Wisconsin
ZIP Code: 53575-1135
Phone: (608) 835-5727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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