Lori A Gretz

NPI #1639428733 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1639428733
Entity Type: Individual
Name: Lori A Gretz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Sep 5, 2012
Last Updated: Sep 5, 2012

Practice Location

Address: 1931 N 8TH STREET
City: Sheboygan
State: Wisconsin
ZIP Code: 53081
Phone: (920) 783-6633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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