Individual
RACHEL BENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDH
Contact information
Practice address
1089 174TH ST, HAMMOND, WI 54015-4831
(720) 985-3107
Mailing address
1089 174TH ST, HAMMOND, WI 54015-4831
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H9458
MN
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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