Dr. Tejpal Singh Athwal, DDS
Dentist, General Practice in Kenosha, WI. Individual provider (NPI-1).
NPI number1164048047
StatusActive
Last updated in NPPESOct 18, 2024
Details
- NPI
- 1164048047
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tejpal Singh Athwal
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2020
- Certification date
- Oct 18, 2024
- Last updated
- Oct 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1002315 | WI | Yes |
Practice location
5707 75th StKenosha, WI 53142-3603
Phone 262-697-0321
Mailing address
5707 75th StKenosha, WI 53142-3603
Phone 262-697-0321
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