Individual
MARIA I GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2040
(414) 266-5677
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11251-16
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11251-16
LICENSE
WI
Enumeration date
05/18/2018
Last updated
05/18/2018
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