Professional Dental Hygiene Express INC

NPI #1134472285 in Bloomer, Wisconsin

Provider Information

NPI Number: 1134472285
Entity Type: Organization
Organization Name: Professional Dental Hygiene Express INC
Primary Specialty: Dental Hygienist
Enumeration Date: Oct 25, 2012
Last Updated: Oct 25, 2012

Practice Location

Address: 5388 STATE HIGHWAY 64
City: Bloomer
State: Wisconsin
ZIP Code: 54724-4788
Phone: (715) 933-0065

Authorized Official

Name: CAROL NEWTON, RDH
Title: REGISTERED DENTAL HYGIENIST
Phone: (715) 933-0065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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