Individual
LIEN JANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3717 S 56TH ST, GREENFIELD, WI 53220-2046
(414) 982-9163
Mailing address
3717 S 56TH ST, GREENFIELD, WI 53220-2046
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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