Individual
MRS. HEATHER DIANE MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1721 SAEMANN AVE, SHEBOYGAN, WI 53081-2342
(920) 783-6633
Mailing address
906 FOREST AVE, SHEBOYGAN, WI 53081-7829
(920) 980-9144
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11221-16
WI
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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