Amanda Boldt, RDH

NPI #1083184261 in Mauston, Wisconsin

Provider Information

NPI Number: 1083184261
Entity Type: Individual
Name: Amanda Boldt, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 29, 2018
Last Updated: Nov 29, 2018

Practice Location

Address: 880 HERRIOT DR
City: Mauston
State: Wisconsin
ZIP Code: 53948-2031
Phone: (608) 847-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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