Individual
ALICIA PANNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 OSTERMANN DR, TURTLE LAKE, WI 54889-9191
(715) 641-0981
Mailing address
225 OSTERMANN DR, TURTLE LAKE, WI 54889-9191
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6752-016
WI
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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