Individual
MS. TIA DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1730 S 13TH ST, MILWAUKEE, WI 53204-3201
(414) 383-3220
Mailing address
1210 W NORTH AVE, APT# 202, MILWAUKEE, WI 53205-1269
(414) 517-5653
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10912-16
WI
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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