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Individual

DR. KELLIE DIANE LINDQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
135 W SECOND ST, NEW RICHMOND, WI 54017
(715) 246-6603
(715) 246-6649
Mailing address
135 W SECOND PO BOX 55, NEW RICHMOND, WI 54017
(715) 246-6603
(715) 246-6649

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5058
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33752000
WI
Enumeration date
10/06/2006
Last updated
07/08/2007
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