Individual provider · Type 1 NPI

Bianca Anne Hassoun

Pediatric Dentistry · Kenosha, WI

NPI number 1760902654 Active

Practice location

7117 Green Bay Rd
Kenosha, WI 53142

Call (262) 942-7000 Map

Other practice locations

  • 10155 Washington Ave, Sturtevant, WI 53177 · (262) 884-3011

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X1002624 (WI)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

15 other providers at this address

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About NPI 1760902654

Bianca Anne Hassoun's National Provider Identifier is 1760902654, issued on Jun 22, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kenosha, WI. The record was last updated on Jul 7, 2021.