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Organization
SDC DENTAL HYGIENE CONCEPTS LLC
Active
Organization
SDC DENTAL HYGIENE CONCEPTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANN BEAUPRE RDH (REGISTERED DENTAL HYGIENIST)
(920) 242-2209
Entity
Organization
Contact information
Practice address
5135 GROVE RD, REEDSVILLE, WI 54230-9182
(920) 242-2209
Mailing address
5135 GROVE RD, REEDSVILLE, WI 54230-9182
(920) 242-2209
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
6637-016
WI
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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