Individual
ROBERTA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
115 5TH AVE N, HURLEY, WI 54534-1208
(715) 329-1288
(715) 329-1334
Mailing address
15735 W US HIGHWAY 63, HAYWARD, WI 54843-6475
(715) 634-2541
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1003586
WI
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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