Individual
SAMANTHA R REICHELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
711 W MORELAND BLVD STE 204, WAUKESHA, WI 53188-2483
(262) 896-9891
Mailing address
N2211 CLOVER LN, MERRILL, WI 54452-3622
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11407-16
WI
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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