Individual
JANET KRIEDERMANN RECORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 787-5514
(920) 787-4737
Mailing address
PO BOX 1440, 400 S. TOWNLINE RD, WAUTOMA, WI 54982-1440
(920) 787-5514
(920) 787-4737
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1001253-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33816100
—
WI
Enumeration date
10/29/2007
Last updated
10/29/2007
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