Organization
SDC DENTAL HYGIENE CONCEPTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANN BEAUPRE RDH (REGISTERED DENTAL HYGIENIST)
(920) 242-2209
Entity
Organization
Contact information
Practice address
5135 GROVE RD, REEDSVILLE, WI 54230-9182
(920) 242-2209
Mailing address
5135 GROVE RD, REEDSVILLE, WI 54230-9182
(920) 242-2209
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
6637-016
WI
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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