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Organization

OUTREACH 4 HEALTHY TEETH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE FOX RDH (OWNER/DENTAL HYGIENIST)
(262) 620-6997
Entity
Organization

Contact information

Practice address
500 COLLEGE AVE, RACINE, WI 53403-1058
(262) 620-6997
Mailing address
500 COLLEGE AVE, RACINE, WI 53403-1058
(262) 620-6997

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/08/2020
Last updated
07/20/2022
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