Individual
MATILDA KIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 473-3998
Mailing address
936 W HAPPY HOLLOW RD, JANESVILLE, WI 53546-8929
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7001648
WI
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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