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1083254064
OUTREACH 4 HEALTHY TEETH, LLC
RACINE, WI
NPI
1083254064
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Entity Type
Organization
Authorized Contact
MICHELLE FOX
Owner/Dental Hygienist
262-620-6997
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-01-08
Last Update Date
2022-07-20
Business Address
OUTREACH 4 HEALTHY TEETH, LLC
500 COLLEGE AVE
RACINE, WI 53403-1058
Phone number: 262-620-6997
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Mailing Address
OUTREACH 4 HEALTHY TEETH, LLC
500 COLLEGE AVE
RACINE, WI 53403-1058
Phone number: 262-620-6997
Copy
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