Organization
ANGELA K FITZPATRICK RDH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA K FITZPATRICK RDH (DENTAL HYGIENIST)
(262) 818-1874
Entity
Organization
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
08/19/2013
Last updated
08/19/2013
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