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Individual

HEIDI ODDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
7665 US HIGHWAY 2, IRON RIVER, WI 54847-4690
(715) 372-5001
Mailing address
7665 US HIGHWAY 2, IRON RIVER, WI 54847-4690
(715) 372-5001

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10896-16
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10896-16
LICENSE
WI
Enumeration date
07/25/2014
Last updated
07/25/2014
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