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Organization
MICHELLE FOX, R.D.H.,S.C.
Active
Organization
MICHELLE FOX, R.D.H.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE FOX RDH (REGISTERED DENTAL HYGIENIST)
(262) 620-6997
Entity
Organization
Contact information
Practice address
9220 66TH ST, KENOSHA, WI 53142-8234
(262) 620-6997
Mailing address
9220 66TH STREET, KENOSHA, WI 53142
(262) 620-6997
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10253-16
WI
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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