Individual
MRS. ERIN KAYE FANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
111 W JACKSON STREET, THIRD FLOOR, WISCONSIN RAPIDS, WI 54495-3338
(920) 639-7384
Mailing address
111 W JACKSON STREET, THIRD FLOOR, WISCONSIN RAPIDS, WI 54495-3338
(920) 639-7384
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1002546-16
WI
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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