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Organization
OUTREACH 4 HEALTHY TEETH, LLC
Active
Organization
OUTREACH 4 HEALTHY TEETH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE FOX RDH (OWNER/DENTAL HYGIENIST)
(262) 620-6997
Entity
Organization
Contact information
Practice address
500 COLLEGE AVE, RACINE, WI 53403-1058
(262) 620-6997
Mailing address
500 COLLEGE AVE, RACINE, WI 53403-1058
(262) 620-6997
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
07/20/2022
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