NPI 1003090895

Kathleen Mary Endres, RDH

Practitioner Dental Hygienist Menasha, WI

Practice location

Address: 1223 Darlene Dr, Menasha, WI 54952-1829
Phone: (920) 470-1450

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 5775-016 (WI)

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Registry record

NPI: 1003090895
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2007
Record last updated: 28 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.