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Individual

MS. DEANNA BETH JANSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
3520 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4175
(414) 389-9880
Mailing address
3520 W. OKLAHOMA AVE, MILWAUKEE, WI 53215-4175
(414) 389-9880

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2848-016
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33804300
WI
Enumeration date
04/10/2008
Last updated
04/10/2008
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