Dufresne, Aline

Dufresne, Aline is an individual health care provider with primary practice located at 10155 Washington Ave , Sturtevant WI 53177-1645. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Dufresne, Aline can be contacted via phone (262) 664-7743.

Contact Information

Primary practice address
10155 Washington Ave Sturtevant WI 53177-1645
Phone: (262) 664-7743
Fax: (262) 664-7799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 1001422-15 Wisconsin
Dental Providers / Pediatric Dentistry 1223P0221X 15724 Maryland

Profile Details

NPI number 1376980300
LBN Legal business name Dufresne, Aline
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2013
Last updated Apr 25th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376980300 NPPES
Maryland MEDICAID 097733100

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