Gloria List, DDS

NPI 1760733075 · on the registry since 2012 · sole proprietor

Practice

Address: 13105 Watertown Plank Rd
Elm Grove, WI 53122
Phone: (262) 787-1460
Fax: (262) 782-0093
Organisation at this address: School Sisters Of Notre Dame Central Pacific Province, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin