Individual
ASHLEY ANN BAUKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
450 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9682
(715) 588-4280
Mailing address
450 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9682
(715) 588-4280
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10198
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33822100
—
WI
Enumeration date
07/03/2008
Last updated
07/03/2008
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