MRS. Theresa Matusiewicz Popovich, R.D.H

NPI #1548565419 in Bayfield, Wisconsin

Provider Information

NPI Number: 1548565419
Entity Type: Individual
Name: MRS. Theresa Matusiewicz Popovich, R.D.H
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: R.D.H
Enumeration Date: Jan 24, 2011
Last Updated: Jan 24, 2011

Practice Location

Address: 88455 PIKE RD
City: Bayfield
State: Wisconsin
ZIP Code: 54814-4814
Phone: (715) 779-3096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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