Individual
ANGELA K FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6831 53RD ST UNIT 146, KENOSHA, WI 53144-3770
(262) 818-1874
Mailing address
6831 53RD ST UNIT 146, KENOSHA, WI 53144-3770
(262) 818-1874
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9800-16
WI
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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