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Individual

MEGAN ELIZABETH OLDRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
501 E LAKE ST, HORICON, WI 53032-1264
(920) 485-4831
Mailing address
501 E LAKE ST, HORICON, WI 53032-1264
(920) 485-4831

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.030442
IL
1223G0001X
General Practice Dentistry
Primary
1001754-15
WI

Other

Enumeration date
08/12/2015
Last updated
01/10/2022
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