Individual
MRS. AMANDA MARIE DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
209 E COMMERCE CT, ELKHORN, WI 53121-4371
(262) 379-1401
Mailing address
N2445 CRISPUS ATTUCKS DR, BURLINGTON, WI 53105-3547
(414) 405-2940
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6818-016
WI
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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