Individual
MEGAN KAY ZIEMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
104 S EYDER AVE, PHILLIPS, WI 54555-1342
(715) 339-3054
Mailing address
PO BOX 88, PHILLIPS, WI 54555-0088
(715) 339-3054
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11575-16
WI
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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