Individual
TERRI MROCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
238 FRONT ST, CASHTON, WI 54619-2002
(608) 654-5100
Mailing address
24723 MALLARD RD, SPARTA, WI 54656-3703
(608) 269-2898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223S0112X
WI
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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