Individual
HEIDI ANN DAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
N63W23401 MAIN ST, SUSSEX, WI 53089-3235
(262) 246-6806
Mailing address
N63W23401 MAIN ST, SUSSEX, WI 53089-3235
(262) 246-6806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5891
WI
Other
Enumeration date
08/07/2007
Last updated
12/10/2008
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