Individual
VANESSA R MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
111 S JEFFERSON ST, LANCASTER, WI 53813-1666
(608) 723-6416
(608) 723-6501
Mailing address
111 S JEFFERSON ST, LANCASTER, WI 53813-1666
(608) 723-6416
(608) 723-6501
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10572-016
WI
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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