Individual
HEIDE M WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(715) 276-6321
(715) 276-1428
Mailing address
15397 STATE HIGHWAY 32, LAKEWOOD, WI 54138-9702
(715) 276-6321
(715) 276-1428
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11260-16
WI
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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