Individual
MRS. RANDI ELIZABETH RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1104 E LEXINGTON BLVD, EAU CLAIRE, WI 54701-6430
(715) 225-8660
Mailing address
1104 E LEXINGTON BLVD, EAU CLAIRE, WI 54701-6430
(715) 225-8660
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11411
WI
124Q00000X
Dental Hygienist
H6659
OR
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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