Individual
MRS. CARA SUE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH,BS
Contact information
Practice address
4060 S LAKE DR APT 4, ST FRANCIS, WI 53235-5256
(407) 375-3003
Mailing address
605 N 4TH ST, CAMERON, WI 54822-9687
(715) 458-6039
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5953-16
WI
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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