# BRANDI BERLAND R.D.H., LTD

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

## Provider details

- **NPI number:** 1659613115
- **Authorized official:** MRS. BRANDI LYNN BERLAND R.D.H (REGISTERED DENTAL HYGIENIST)
- **Authorized official phone:** (414) 403-7181

## Contact information

- **Practice address:** 11216 61ST ST, KENOSHA, WI 53142-7261
- **Practice address phone:** (262) 764-5237
- **Mailing address:** 11216 61ST ST, KENOSHA, WI 53142-7261
- **Mailing address phone:** (262) 764-5237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 124Q00000X | Dental Hygienist | 9824-16 | WI | Yes |

## Other

- **Enumeration date:** 03/22/2013
- **Last updated:** 03/22/2013