Individual
LINDA KAY BOHACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, MA, CDHC
Contact information
Practice address
720 2ND AVE, EAU CLAIRE, WI 54703-5413
(715) 839-4718
(715) 839-1674
Mailing address
3303 EVERGREEN LN, EAU CLAIRE, WI 54701-5912
(715) 579-5009
(715) 835-8918
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4279-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33805400
—
WI
Enumeration date
01/09/2007
Last updated
07/09/2007
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