Individual
AMANDA L GANSHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
147 3RD ST, BARABOO, WI 53913-2423
(608) 356-3790
(608) 356-7863
Mailing address
2017 HANKSFIELD PL, PRAIRIE DU SAC, WI 53578-1157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5129015
WI
Other
Enumeration date
08/18/2006
Last updated
05/19/2015
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