Individual
LAURA HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1602 11TH ST, MONROE, WI 53566
(608) 325-5464
Mailing address
1602 11TH ST, MONROE, WI 53566-2002
(608) 325-5464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100184615
WI
Other
Enumeration date
05/04/2018
Last updated
06/12/2018
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