SHAWNA MITTELSTADT

WAUKESHA, WI
NPI1447746748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  5094-16)
Enumeration Date2018-07-10
Last Update Date2018-07-10
Business Address
SHAWNA MITTELSTADT RDH
711 W MORELAND BLVD STE 204
WAUKESHA, WI 53188-2483
Phone number: 262-896-9891
Mailing Address
SHAWNA MITTELSTADT RDH
711 W MORELAND BLVD STE 204
WAUKESHA, WI 53188-2483
Phone number:
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