Individual
KATELYN RECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5388 STATE HIGHWAY 64, BLOOMER, WI 54724-4788
(715) 933-0065
Mailing address
W12949 LAKE DR, GILMAN, WI 54433-9369
(715) 314-0540
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10790-016
WI
Other
Enumeration date
09/06/2014
Last updated
09/06/2014
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