# PROFESSIONAL DENTAL HYGIENE EXPRESS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134472285
- **Authorized official:** CAROL NEWTON RDH (REGISTERED DENTAL HYGIENIST)
- **Authorized official phone:** (715) 933-0065

## Contact information

- **Practice address:** 5388 STATE HIGHWAY 64, BLOOMER, WI 54724-4788
- **Practice address phone:** (715) 933-0065
- **Practice address fax:** (715) 568-3545
- **Mailing address:** 5388 STATE HIGHWAY 64, BLOOMER, WI 54724-4788
- **Mailing address phone:** (715) 933-0065
- **Mailing address fax:** (715) 568-3545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 124Q00000X | Dental Hygienist | — | NULL | Yes |
| 124Q00000X | Dental Hygienist | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2012
- **Last updated:** 10/25/2012