DEANNA T WALLACE

JANESVILLE, WI
NPI1043880438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  5054-16)
Enumeration Date2021-06-28
Last Update Date2021-06-28
Business Address
DEANNA T WALLACE RDH
1344 CRESTON PARK DR STE 2
JANESVILLE, WI 53545-1113
Phone number: 608-314-1940
Mailing Address
DEANNA T WALLACE RDH
23 W MILWAUKEE ST
JANESVILLE, WI 53548-2981
Phone number: 608-314-1930
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