Individual
JULIE ANN RISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
925 S 15TH ST, MANITOWOC, WI 54220-5051
(920) 652-0238
Mailing address
6120 SELLE RD, MANITOWOC, WI 54220-9537
(920) 758-3086
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5727-016
WI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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