Dr. Nicole Marie Kujawa, D.D.S.
Dentist in Milwaukee, WI. Individual provider (NPI-1).
NPI number1982192316
StatusActive
Last updated in NPPESJan 4, 2019
Details
- NPI
- 1982192316
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Marie Kujawa
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2018
- Last updated
- Jan 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019.031723 | IL | Yes |
| 122400000X | Denturist | 019.031723 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1801 W Wisconsin AveMilwaukee, WI 53233
Phone 414-288-6790
Mailing address
1801 W Wisconsin AveMilwaukee, WI 53233-2186
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