Individual
VIRIDIANA E CASTRO PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
210 NW BARSTOW ST STE 305, WAUKESHA, WI 53188-3771
(262) 522-7645
(262) 522-2828
Mailing address
210 NW BARSTOW ST STE 305, WAUKESHA, WI 53188-3771
(262) 522-7645
(262) 522-2828
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1003959-16
WI
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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