Individual
SARA ANN BEAUPRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5135 GROVE RD, REEDSVILLE, WI 54230-9182
(920) 242-2209
Mailing address
5135 GROVE RD, REEDSVILLE, WI 54230-9182
(920) 242-2209
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6637-016
WI
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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