Individual
REENA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2416 N PEACH AVE, APT 3, MARSHFIELD, WI 54449-8355
(715) 254-1094
Mailing address
2416 N PEACH AVE, APT 3, MARSHFIELD, WI 54449-8355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS037906
PA
1223G0001X
General Practice Dentistry
Primary
6580
WI
Other
Enumeration date
06/29/2009
Last updated
08/08/2011
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