Outreach 4 Healthy Teeth, LLC

NPI #1083254064 in Racine, Wisconsin

Provider Information

NPI Number
1083254064
Entity Type
Organization
Organization Name
Outreach 4 Healthy Teeth, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 8, 2020
Last Updated
Jul 20, 2022

Practice Location

Address
500 COLLEGE AVE
City
Racine
ZIP Code
53403-1058
Phone
(262) 620-6997

Authorized Official

Name
MRS. MICHELLE FOX, RDH
Title
OWNER/DENTAL HYGIENIST
Phone
(262) 620-6997

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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