Diane Colette Kothera, RDH
Dental Hygienist in Milwaukee, WI. Individual provider (NPI-1).
NPI number1982194700
StatusActive
Last updated in NPPESMay 16, 2018
Details
- NPI
- 1982194700
- Entity type
- Individual (NPI-1)
- Name
- Diane Colette Kothera
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2018
- Last updated
- May 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 5122-16 | WI | Yes |
Practice location
2906 S 20th StMilwaukee, WI 53215-3732
Phone 414-897-5193
Mailing address
311 E Erie St Unit 317Milwaukee, WI 53202-6046
Phone 414-379-2593
Other practice locations
1032 S 16th St
Milwaukee, WI 53204-2203
Milwaukee, WI 53204-2203
Phone 414-672-1353
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All 94 Dental Hygienist providers in Milwaukee · All 23,880 providers in Milwaukee
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