Individual
MARY K DANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W12802 COUNTY ROAD A, BOWLER, WI 54416-9551
(715) 793-4144
Mailing address
W12802 COUNTY ROAD A, BOWLER, WI 54416-9551
(715) 793-4144
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5509-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33829500
—
WI
Enumeration date
09/04/2008
Last updated
09/04/2008
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