Individual
MRS. MELISSA ANN WAARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1011 N 8TH ST, SHEBOYGAN, WI 53081-4006
(920) 459-6400
(920) 459-4353
Mailing address
1011 N 8TH ST, SHEBOYGAN, WI 53081-4006
(920) 459-6400
(920) 459-4353
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5876-016
WI
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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