Individual
TINA BEETHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HYGIENIST
Contact information
Practice address
411 22ND AVE, MONROE, WI 53566-1576
(608) 328-9404
Mailing address
685 COUNTY ROAD MM, OREGON, WI 53575
(608) 575-5046
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2543-16
WI
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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