Organization
BRANDI BERLAND R.D.H., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI LYNN BERLAND R.D.H (REGISTERED DENTAL HYGIENIST)
(414) 403-7181
Entity
Organization
Contact information
Practice address
11216 61ST ST, KENOSHA, WI 53142-7261
(262) 764-5237
Mailing address
11216 61ST ST, KENOSHA, WI 53142-7261
(262) 764-5237
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9824-16
WI
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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