Carrie Mattie-Jensen

NPI #1194558940 in Mt Pleasant, Wisconsin

Provider Information

NPI Number: 1194558940
Entity Type: Individual
Name: Carrie Mattie-Jensen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Aug 26, 2024
Last Updated: Aug 26, 2024

Practice Location

Address: 4314 GARDEN DR
City: Mt Pleasant
State: Wisconsin
ZIP Code: 53403-3940
Phone: (414) 431-8764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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