Individual
MRS. BETH M WAVRUNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RDH
Contact information
Practice address
1245 MAIN ST, GREEN BAY, WI 54302-1306
(920) 965-0831
Mailing address
1245 MAIN ST, GREEN BAY, WI 54302-1306
(920) 965-0831
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6113-016
WI
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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