Individual
ELISA PULS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
711 W MORELAND BLVD STE 204, WAUKESHA, WI 53188-2483
(262) 896-9891
Mailing address
711 W MORELAND BLVD STE 204, WAUKESHA, WI 53188-2483
(262) 896-9891
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6475-16
WI
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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