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Ada Y Bazemore

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

NPI number1689089740
StatusActive
Last updated in NPPESJun 27, 2014

Details

NPI
1689089740
Entity type
Individual (NPI-1)
Name
Ada Y Bazemore
Sex
Female
Sole proprietor
No
Enumeration date
Jun 27, 2014
Last updated
Jun 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist10515-016WIYes

Practice location

2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709

Phone 414-372-8080 · Fax 414-562-8432

Mailing address

2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709

Phone 414-372-8080 · Fax 414-562-8432

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