Dr. Carlton L Donowa DDS LLC
Dentist in Kenosha, WI. Organization (NPI-2).
NPI number1720102304
StatusActive
Last updated in NPPESJun 30, 2011
Details
- NPI
- 1720102304
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Carlton L Donowa DDS LLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2007
- Last updated
- Jun 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4819-015 | WI | Yes |
Practice location
6032 40th AveKenosha, WI 53142-7018
Phone 262-656-0764 · Fax 262-656-1833
Mailing address
6032 40th AveKenosha, WI 53142-7018
Phone 262-656-0764 · Fax 262-656-1833
Authorized official
Carlton L Donowa
President
2626560764
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