Individual
JUDITH L BELLAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 445-6500
(414) 445-6618
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4456
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4456-26
WISCONSIN LICENSE
WI
Enumeration date
10/04/2019
Last updated
10/04/2019
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