Individual
TRISTA S PINKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1617 FARNAM ST, LA CROSSE, WI 54601-5761
(715) 514-9870
Mailing address
1617 FARNAM ST, LA CROSSE, WI 54601-5761
(715) 514-9870
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11177-16
WI
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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