Individual
DEANNA MARLENE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
711 W MORELAND BLVD STE 204, WAUKESHA, WI 53188-2483
(263) 896-9891
Mailing address
2149 HIGHLAND DR, EAGLE RIVER, WI 54521-8625
(906) 396-6568
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1003710-16
WI
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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