Dr. David Lawrence Harenke I, DDS
Dentist in Racine, WI. Individual provider (NPI-1).
NPI number1780171728
StatusActive
Last updated in NPPESApr 16, 2018
Details
- NPI
- 1780171728
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Lawrence Harenke I
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2018
- Last updated
- Apr 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | WI5001609 | WI | Yes |
Practice location
1501 Albert StRacine, WI 53404-2713
Phone 262-638-2954
Mailing address
4508 S Lawler AveCudahy, WI 53110-1224
Phone 414-481-0955
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