List, Gloria T

List, Gloria T is an sole proprietor health care provider with primary practice located at 13105 Watertown Plank Rd , Elm Grove WI 53122-2213. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. List, Gloria T can be contacted via phone (262) 787-1460.

Contact Information

Primary practice address
13105 Watertown Plank Rd Elm Grove WI 53122-2213
Phone: (262) 787-1460
Fax: (262) 782-0093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5000062-15 Wisconsin

Profile Details

NPI number 1760733075
LBN Legal business name List, Gloria T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2012
Last updated Sep 26th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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