Individual
DEVAN MICHELLE TOBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
109 E BLUFF ST, BOSCOBEL, WI 53805-1610
(608) 326-8210
Mailing address
109 E BLUFF ST, BOSCOBEL, WI 53805-1610
(608) 326-8210
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
124Q00000X
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33828700
—
WI
Enumeration date
09/08/2008
Last updated
09/08/2008
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