Individual
DENISE L PHILIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 NORTH 2ND ST, WAUSAU, WI 54403
(715) 848-4884
(715) 845-5385
Mailing address
1810 N 2ND ST, WAUSAU, WI 54403
(715) 848-4884
(715) 845-5385
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5407-016
WI
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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