Individual
MEGAN A DALUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 643-8505
(608) 643-8097
Mailing address
1209 MILLS ST, PO BOX 383, BLACK EARTH, WI 53515-9420
(608) 767-3604
(608) 767-3606
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11603-16
WI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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