# MICHELLE FOX, R.D.H.,S.C.

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

## Provider details

- **NPI number:** 1730421850
- **Authorized official:** MRS. MICHELLE FOX RDH (REGISTERED DENTAL HYGIENIST)
- **Authorized official phone:** (262) 620-6997

## Contact information

- **Practice address:** 9220 66TH ST, KENOSHA, WI 53142-8234
- **Practice address phone:** (262) 620-6997
- **Mailing address:** 9220 66TH STREET, KENOSHA, WI 53142
- **Mailing address phone:** (262) 620-6997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 124Q00000X | Dental Hygienist | 10253-16 | WI | Yes |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 03/27/2013