MRS. Amanda Marie Beversdorf, RDH

NPI #1184021230 in Wausau, Wisconsin

Provider Information

NPI Number: 1184021230
Entity Type: Individual
Name: MRS. Amanda Marie Beversdorf, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Dec 4, 2014
Last Updated: Dec 4, 2014

Practice Location

Address: 413 N 17TH AVE
City: Wausau
State: Wisconsin
ZIP Code: 54401
Phone: (715) 842-4649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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