| Laura A Guttormsen Dds Llc | |
|
6402 Sheridan Rd Kenosha WI 53143-5028 | |
| (262) 654-2261 | |
| (262) 657-6933 |
| Full Name | Laura A Guttormsen Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6402 Sheridan Rd, Kenosha, Wisconsin |
| Authorized Official Name and Position | Laura A Guttormsen (GENERAL DENIST/OFFICER) |
| Authorized Official Contact | 2629457970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura A Guttormsen Dds Llc 6402 Sheridan Rd Kenosha WI 53143-5028 Ph: (262) 654-2261 | Laura A Guttormsen Dds Llc 6402 Sheridan Rd Kenosha WI 53143-5028 Ph: (262) 654-2261 |
| NPI Number | 1215450531 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215450531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6307-15 (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | 6307-15 (* (Not Available)) | Primary |
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› Verified 2 days ago
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