Individual
JUDY CAROL LARSON-CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
2901 W BELTLINE HWY, BOX A, MADISON, WI 53713-4226
(608) 443-5480
(607) 441-1981
Mailing address
2901 W BELTLINE HWY, BOX A, MADISON, WI 53713-4226
(608) 443-5480
(608) 441-1981
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5747-16
WI
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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