Most Relevant Information
Provider Data
| NPI Number: | 1003229287 |
| Provider Name: | JULIA ELIZABETH KENNEDY D.D.S |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 7247-15 |
Most Important Dates
| Enumeration Date: | 06/05/2014 |
| Last Updated: | 10/27/2014 |
Provider Practice Location
11819 W DIANE DR
WAUWATOSA
WI
532263348
Practice Location Phone/Fax
| Phone: | 2628946230 |
| Fax: |
Provider Mailing Location
11819 W DIANE DR
WAUWATOSA
WI
532263348
Provider Mailing Phone/Fax
| Phone: | 2628946230 |
| Fax: |