Individual
LINDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
128 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9386
(715) 588-4494
Mailing address
W7925 EDISON RD, BRYANT, WI 54418-9755
(715) 623-4300
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5426-16
WI
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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