Individual
HEATHER QUASIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1931 N 8TH ST, SHEBOYGAN, WI 53081-2740
(920) 783-6633
(920) 783-6635
Mailing address
625 57TH ST, SUITE 700, KENOSHA, WI 53140-4146
(262) 764-3625
(262) 654-9333
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5309-16
WI
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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