Individual
SAMANTHA CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 N ACRES RD STE 102, PRESCOTT, WI 54021-7063
(715) 953-0499
Mailing address
1435 N ACRES RD STE 102, PRESCOTT, WI 54021-7063
(715) 997-4990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001580
WI
Other
Enumeration date
06/12/2017
Last updated
04/02/2024
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