Individual
NICOLE KATHLEEN GEISSLER-BALTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
N3104 1002ND ST, ELK MOUND, WI 54739-2011
(715) 491-6056
Mailing address
N3104 1002ND ST, ELK MOUND, WI 54739-2011
(715) 491-6056
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9972-016
WI
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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