NPI 1033767769

Katie Ann Dvorak, 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 6662-16 (WI)

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Registry record

NPI: 1033767769
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2019
Record last updated: 27 Aug 2019

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.