Individual
JEANETTE PAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 S 18TH AVE, STURGEON BAY, WI 54235-1000
(920) 746-3788
(920) 743-3340
Mailing address
5616 W CARLSVILLE RD, STURGEON BAY, WI 54235-9741
(920) 419-1924
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11605-16
WI
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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