Individual
RITA M CROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 N 8TH STREET, SHEBOYGAN, WI 53081
(920) 783-6633
Mailing address
2234 S 14TH STREET, SHEBOYGAN, WI 53081
(920) 205-2705
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5518-16
WI
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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