Individual
MRS. ANGELA M LUPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
1016 83RD ST, KENOSHA, WI 53143-6149
(262) 515-2260
Mailing address
1016 83RD ST, KENOSHA, WI 53143-6149
(262) 515-2260
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10731-16
WI
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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