Individual
MS. ELIZABETH A KORONKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
W1441 ROOSEVELT RD, OCONOMOWOC, WI 53066-9528
(262) 397-7026
Mailing address
W1441 ROOSEVELT RD, OCONOMOWOC, WI 53066-9528
(262) 397-7026
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10831
WI
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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