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Organization

PROFESSIONAL DENTAL HYGIENE EXPRESS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL NEWTON RDH (REGISTERED DENTAL HYGIENIST)
(715) 933-0065
Entity
Organization

Contact information

Practice address
5388 STATE HIGHWAY 64, BLOOMER, WI 54724-4788
(715) 933-0065
(715) 568-3545
Mailing address
5388 STATE HIGHWAY 64, BLOOMER, WI 54724-4788
(715) 933-0065
(715) 568-3545

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
10/25/2012
Last updated
10/25/2012
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