Angela Kussow RDH

NPI 1790102143 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1790102143
Gender Female
Enumeration Date 03/24/2014
Last Updated 04/17/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
103 E. FOUNTAIN ST.
DODGEVILLE WI, 53533-1749, US
Phone (608) 935-5550
Fax (608) 935-5168
Business Location
2901 W BELTLINE HWY
SUITE 120
MADISON WI, 53713-4226, US
Phone (608) 443-5500
Fax (608) 441-2385
Toxanomy
Taxonomy Code 124Q00000X
License State Wisconsin
License Number 5616-16
Remove 1790102143 NPI Number
 

According to our database, Mrs. Angela Kussow RDH NPI is 1790102143, taxonomy code is 124Q00000X and license number is 5616-16, license state is located at Wisconsin. Angela Kussow RDH physically located at 103 E. Fountain St., Dodgeville WI, 53533-1749. NPI Number Angela Kussow RDH has the Individual type.

Sponsored links

1790102143 NPI number is provided on an as is basis without warranty of any kind. 1790102143 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Kussow RDH are for informational purposes only.