MARY CLIFFORD

KENOSHA, WI
NPI1922398387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  5460-16)
Enumeration Date2011-04-19
Last Update Date2014-11-11
Business Address
-- MARY CLIFFORD RDH
6226 14TH AVE
KENOSHA, WI 53143-4413
Phone number: 262-656-0044
Mailing Address
-- MARY CLIFFORD RDH
625 57TH ST SUITE 700
KENOSHA, WI 53140-4146
Phone number: 262-764-3622