Individual
MRS. JODI JEAN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
344 FRENCH RD, ONALASKA, WI 54650-8646
(608) 783-6518
Mailing address
344 FRENCH RD, ONALASKA, WI 54650-8646
(608) 783-6518
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4561
WI
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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