| NPI | 1942457932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON HAUGERUD Clinic Director 715-986-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 6752-016) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |