Individual
PATRICIA L PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 N 76TH ST, SUITE101, WAUWATOSA, WI 53213-1137
(414) 476-9400
Mailing address
2626 N 76TH ST, SUITE101, WAUWATOSA, WI 53213-1137
(414) 476-9400
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5253-016
WI
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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