Individual
MRS. LINDA L BURRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
311 N MAIN ST, SHAWANO, WI 54166-2145
(715) 526-4808
Mailing address
311 N MAIN ST, SHAWANO, WI 54166-2145
(715) 526-4808
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1001329-16
WI
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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