Individual
JESSICA PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
15397 STATE HIGHWAY 32, LAKEWOOD, WI 54138-9702
(715) 276-6321
(715) 276-1428
Mailing address
15397 STATE HIGHWAY 32, LAKEWOOD, WI 54138-9702
(715) 276-6321
(715) 276-1428
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9738-16
WI
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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