Individual
MRS. JULIE ELIZABETH RIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGENIST
Contact information
Practice address
221 CHADRON AVE, CHADRON, NE 69337-2347
(308) 432-8124
(308) 432-8126
Mailing address
191 PINEVIEW RD, CHADRON, NE 69337-5503
(308) 432-5123
(308) 432-8126
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
775
NE
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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