MS. Tasha Rae Hughbanks, RDH

NPI #1104191261 in Prairie Du Sac, Wisconsin

Provider Information

NPI Number: 1104191261
Entity Type: Individual
Name: MS. Tasha Rae Hughbanks, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Mar 21, 2012
Last Updated: Mar 21, 2012

Practice Location

Address: 1906 NORTH ST
City: Prairie Du Sac
State: Wisconsin
ZIP Code: 53578-1148
Phone: (608) 644-0504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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