Individual
BETH ANN GRAMZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
856 ARMOUR RD STE B, OCONOMOWOC, WI 53066-3976
(262) 569-4990
Mailing address
856 ARMOUR RD STE B, OCONOMOWOC, WI 53066-3976
(262) 719-8783
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5393
WI
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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