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Taylor M Richter

Dental Hygienist in Prairie Du Sac, WI. Individual provider (NPI-1).

NPI number1114535697
StatusActive
Last updated in NPPESJul 21, 2020

Details

NPI
1114535697
Entity type
Individual (NPI-1)
Name
Taylor M Richter
Sex
Female
Sole proprietor
No
Enumeration date
Jul 21, 2020
Certification date
Jul 21, 2020
Last updated
Jul 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist10757-16WIYes

Practice location

1250 Prairie St
Prairie Du Sac, WI 53578-2041

Phone 608-644-0909

Mailing address

1250 Prairie St
Prairie Du Sac, WI 53578-2041

Phone 608-644-0909 · Fax 608-643-8097

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Other Dental Hygienist providers in Prairie Du Sac, WI

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