Individual
PAULA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2470 W MASON ST, GREEN BAY, WI 54303-4711
(920) 272-9300
(920) 498-6890
Mailing address
622 BODART ST, GREEN BAY, WI 54301-4923
(920) 437-9773
(920) 437-0984
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10613-16
WI
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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