Individual
MRS. JAMIE LYNNE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
72718 MAPLE STREET, BAD RIVER HEALTH CLINIC DENTAL, ODANAH, WI 54861
(715) 682-7133
(715) 685-7848
Mailing address
PO BOX 250, BAD RIVER CLINIC BILLING OFFICE, ODANAH, WI 54861-0250
(715) 682-7133
(715) 685-7848
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6880-16
WI
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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