Individual
MARY BETH KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3720 N 124TH ST STE F, WAUWATOSA, WI 53222-2100
(414) 535-8134
(414) 535-8135
Mailing address
25 NEEDHAM ST, NEWTON, MA 02461-1615
(617) 964-6681
(617) 630-0141
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3509-016
WI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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