Cherish Mudgett RHD

NPI 1194921569 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1194921569
Gender Female
Enumeration Date 06/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3720 N 124TH ST
SUITE F
WAUWATOSA WI, 53222-2100, US
Phone (414) 535-8134
Fax
Business Location
25 NEEDHAM ST
NEWTON MA, 02461-1615, US
Phone (617) 964-9981
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Wisconsin
License Number 6865016
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According to our database, Cherish Mudgett RHD NPI is 1194921569, taxonomy code is 124Q00000X and license number is 6865016, license state is located at Wisconsin. Cherish Mudgett RHD physically located at 3720 N 124th St, Wauwatosa WI, 53222-2100. NPI Number Cherish Mudgett RHD has the Individual type.

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1194921569 NPI number is provided on an as is basis without warranty of any kind. 1194921569 is maintained by the National Plan & Provider Enumeration System. The contents of Cherish Mudgett RHD are for informational purposes only.