Individual
DR. JAIME LYN SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3066 SHADYSIDE DR, STOUGHTON, WI 53589-3244
(715) 456-5148
Mailing address
3066 SHADYSIDE DR, STOUGHTON, WI 53589-3244
(715) 456-5148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6772-015
WI
Other
Enumeration date
09/21/2011
Last updated
06/16/2022
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