Individual
AMANDA COLE VANDEN HEUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
424 S MONROE AVE, GREEN BAY, WI 54301-4054
(920) 544-0346
(920) 489-8233
Mailing address
622 BODART ST, GREEN BAY, WI 54301-4923
(920) 437-9773
(920) 437-0984
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10390
WI
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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