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Heidi Leigh Allen, RDH

Dental Hygienist in Waukesha, WI. Individual provider (NPI-1).

NPI number1609375112
StatusActive
Last updated in NPPESFeb 9, 2018

Details

NPI
1609375112
Entity type
Individual (NPI-1)
Name
Heidi Leigh Allen
Credential
RDH
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 9, 2018
Last updated
Feb 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist1002863-16WIYes

Practice location

711 W Moreland Blvd Ste 204
Waukesha, WI 53188-2483

Phone 262-896-9891

Mailing address

711 W Moreland Blvd Ste 204
Waukesha, WI 53188-2483

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