Individual
SHIRLEY PAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
600 YORK ST, MANITOWOC, WI 54220-6835
(920) 320-6775
Mailing address
PO BOX 959, SHEBOYGAN, WI 53082-0959
(920) 783-6633
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11373-16
WI
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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