Individual
MRS. LACIE ELIZABETH DOBYNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6226 14TH AVE, KENOSHA, WI 53143-4413
(262) 656-0044
Mailing address
4040 8TH AVE, KENOSHA, WI 53140-5537
(188) 339-3163
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1004026-16
WI
Other
Enumeration date
10/11/2021
Last updated
07/17/2025
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