NPI 1013511872
Mariah M Mayne, RDH
Practice location
- Address
- 105 E Bluff St, Boscobel, WI 53805-1610
- Phone
- (608) 654-5100
- Fax
- (608) 654-7408
- Mailing address
- PO Box 39, Cashton, WI 54619-0039
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1013511872
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Nov 2020
- Record last updated
- 23 Nov 2020
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.