Individual
KAY ANDREA FAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
210 NW BARSTOW ST STE 305, WAUKESHA, WI 53188-3771
(262) 544-7645
(262) 544-2828
Mailing address
210 NW BARSTOW ST STE 305, WAUKESHA, WI 53188-3771
(262) 544-7645
(262) 544-2828
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4706-16
IA
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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