Individual
ROXANNE DENNY-MICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, PHRDH
Contact information
Practice address
408 MONTROSE AVE, BERTRAND, NE 68927-3801
(308) 472-3717
Mailing address
408 MONTROSE AVE, BERTRAND, NE 68927-3801
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1083
NE
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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