Individual
KA DEE THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 W BELTLINE HWY, MADISON, WI 53713-4226
(608) 443-5482
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1003768-16
WI
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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