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Individual

JILL SALETTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTAL HYGIENIST

Contact information

Practice address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 787-5514
Mailing address
PO BOX 1440, WAUTOMA, WI 54982-1440
(920) 787-5514

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
05/02/2019
Last updated
05/02/2019
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