Individual
DANIELLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, DA
Contact information
Practice address
711 W MORELAND BLVD STE 204, WAUKESHA, WI 53188-2483
(262) 896-9891
Mailing address
4225 LANGES CORNERS RD, DENMARK, WI 54208-8720
(920) 277-8360
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
1003485
WI
124Q00000X
Dental Hygienist
Primary
1003485-16
WI
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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