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Individual

CHERISH MUDGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RHD

Contact information

Practice address
3720 N 124TH ST, SUITE F, WAUWATOSA, WI 53222-2100
(414) 535-8134
Mailing address
25 NEEDHAM ST, NEWTON, MA 02461-1615
(617) 964-9981

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6865016
WI

Other

Enumeration date
06/22/2007
Last updated
07/08/2007
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