Individual
JACQUELINE ANN BOICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
800 KENNEDY CT, PESHTIGO, WI 54157-1026
(715) 938-0490
Mailing address
800 KENNEDY CT, PESHTIGO, WI 54157-1026
(715) 938-0490
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902017784
MI
124Q00000X
Dental Hygienist
6886016
WI
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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