Individual
MRS. KELLY J RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1906 NORTH ST, PRAIRIE DU SAC, WI 53578-1148
(608) 644-0504
(608) 644-0504
Mailing address
815 19TH ST, PRAIRIE DU SAC, WI 53578-1195
(608) 643-8905
(608) 643-8905
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6605-16
WI
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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