JENNIFER M CLARK

RACINE, WI
NPI1972976793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  11479-16)
Enumeration Date2015-11-02
Last Update Date2015-11-02
Business Address
Ms. JENNIFER M CLARK RDH
4915 WASHINGTON AVE STE B
RACINE, WI 53406-4221
Phone number: 262-619-1949
Mailing Address
Ms. JENNIFER M CLARK RDH
4915 WASHINGTON AVE STE B
RACINE, WI 53406-4221
Phone number: 262-619-1949
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