Individual
MRS. MICHELLE LEE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
500 COLLEGE AVE, RACINE, WI 53403-1058
(262) 620-6997
Mailing address
9220 66TH ST, KENOSHA, WI 53142-8234
(262) 484-8346
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10253-16
WI
Other
Enumeration date
09/08/2010
Last updated
07/20/2022
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