Individual
TIA MARIE NIFFENEGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
W286N991 SHEPHERDS WAY, WAUKESHA, WI 53188-9493
(262) 896-9891
(262) 446-9885
Mailing address
W286N991 SHEPHERDS WAY, WAUKESHA, WI 53188-9493
(262) 896-9891
(262) 446-9885
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11315-16
WI
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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