Individual
WENDY ANN WILLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
246 VINCENT AVE, CHAPPELL, NE 69129-9701
(308) 874-2910
Mailing address
PO BOX 468, CHAPPELL, NE 69129-0468
(308) 874-2910
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1380
NE
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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