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Organization
PROFESSIONAL DENTAL HYGIENE EXPRESS INC
Active
Organization
PROFESSIONAL DENTAL HYGIENE EXPRESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL NEWTON RDH (REGISTERED DENTAL HYGIENIST)
(715) 933-0065
Entity
Organization
Contact information
Practice address
5388 STATE HIGHWAY 64, BLOOMER, WI 54724-4788
(715) 933-0065
(715) 568-3545
Mailing address
5388 STATE HIGHWAY 64, BLOOMER, WI 54724-4788
(715) 933-0065
(715) 568-3545
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
NULL
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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