ANITA K. CRIM WALLACE

WAUKESHA, WI
NPI1952762213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  10877-16)
Enumeration Date2016-03-15
Last Update Date2016-08-10
Business Address
-- ANITA K. CRIM WALLACE RDH
711 W MORELAND BLVD SUITE 204
WAUKESHA, WI 53188-2483
Phone number: 262-896-9891
Mailing Address
-- ANITA K. CRIM WALLACE RDH
711 W MORELAND BLVD SUITE 204
WAUKESHA, WI 53188-2483
Phone number:
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