Individual
MRS. SHERI ANN HIETPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1760 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 499-5191
Mailing address
1037 TRABOH CT, DE PERE, WI 54115-9041
(920) 655-2820
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5296-16
WI
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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