Individual
MRS. KATHLEEN TRAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1733 MELROSE ST, MADISON, WI 53704-3323
(608) 242-4149
(608) 242-4149
Mailing address
1733 MELROSE ST, MADISON, WI 53704-3323
(608) 242-4149
(608) 242-4149
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5058-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33801900
—
WI
Enumeration date
01/03/2007
Last updated
08/27/2012
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