Individual
SUSAN RAE REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
115 E 6TH ST S, LADYSMITH, WI 54848-1910
(715) 532-5531
(715) 532-7899
Mailing address
115 E 6TH ST S, LADYSMITH, WI 54848-1910
(715) 532-5531
(715) 532-7899
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6091-016
WI
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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