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Individual

MRS. SHEILA KAY LAIDIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDH

Contact information

Practice address
2006 N MAIN ST, MISHAWAKA, IN 46545-5612
(574) 259-8571
(574) 259-8632
Mailing address
15267 MADISON RD, MISHAWAKA, IN 46544-9751
(574) 993-8819

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13002807A
IN

Other

Enumeration date
10/20/2018
Last updated
10/20/2018
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