Individual
MS. TIA POORANI RINZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-6790
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-6790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7497
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2021
Last updated
06/23/2021
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