Individual
AMANDA MARIE MCKEEFRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2304 LINEVILLE RD, SUITE 101, GREEN BAY, WI 54313
(920) 434-4600
Mailing address
3894 TALL PINE CT, GREEN BAY, WI 54313-8756
(920) 619-8865
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10960-16
WI
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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