Individual
SARAH BLAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 FOREST AVE STE 201, FOND DU LAC, WI 54935-4111
(920) 933-6400
(920) 933-1310
Mailing address
1116 27TH ST, TWO RIVERS, WI 54241-2115
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10801-16
WI
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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