County of Grant

NPI #1447405584 in Lancaster, Wisconsin

Provider Information

NPI Number: 1447405584
Entity Type: Organization
Organization Name: County of Grant
Primary Specialty: Dental Hygienist
Enumeration Date: Nov 17, 2008
Last Updated: Nov 17, 2008

Practice Location

Address: 111 S JEFFERSON ST FL 2
City: Lancaster
State: Wisconsin
ZIP Code: 53813-1672
Phone: (608) 723-6416

Authorized Official

Name: MR. JEFFERY A KINDRAI, MSPH, RS
Title: DIRECTOR / HEALTH OFFICER
Phone: (608) 723-6416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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