DR. Joel A Supita, DDS

NPI #1922051895 in Crivitz, Wisconsin

Provider Information

NPI Number
1922051895
Entity Type
Individual
Name
DR. Joel A Supita, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
519 N US HIGHWAY 141
ZIP Code
54114-1639
Phone
(715) 854-7545

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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