NPI 1083184261

Amanda Boldt, RDH

Practitioner Dental Hygienist Mauston, WI

Practice location

Address: 880 Herriot Dr, Mauston, WI 53948-2031
Phone: (608) 847-6700
Fax: (608) 847-6122
Mailing address: PO Box 1440, Wautoma, WI 54982-1440

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 1003309-16 (WI)

Other Dental Hygienist providers in Wisconsin →

Registry record

NPI: 1083184261
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2018
Record last updated: 29 Nov 2018

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.