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Individual

CARREY SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
856 ARMOUR RD, OCONOMOWOC, WI 53066-3976
(262) 569-4990
Mailing address
623 E ANNE ST, OCONOMOWOC, WI 53066-3118
(262) 719-8783

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5665-16
WI

Other

Enumeration date
04/19/2017
Last updated
04/19/2017
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