DIANE COLETTE KOTHERA

MILWAUKEE, WI
NPI1982194700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  5122-16)
Enumeration Date2018-05-16
Last Update Date2018-05-16
Business Address
DIANE COLETTE KOTHERA RDH
2906 S 20TH ST
MILWAUKEE, WI 53215-3732
Phone number: 414-897-5193
Mailing Address
DIANE COLETTE KOTHERA RDH
311 E ERIE ST UNIT 317
MILWAUKEE, WI 53202-6046
Phone number: 414-379-2593
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