NPI 1023783156

Amber L Evonovich, RDH

Practitioner Dental Hygienist Waukesha, WI

Practice location

Address: 711 W Moreland Blvd STE 204, Waukesha, WI 53188-2483
Phone: (262) 896-9891

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 16-11306 (WI)

Other Dental Hygienist providers in Wisconsin →

Registry record

NPI: 1023783156
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2021
Record last updated: 11 Aug 2021

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.