NPI 1114535697

Taylor M Richter

Practitioner Dental Hygienist Prairie Du Sac, WI

Practice location

Address: 1250 Prairie St, Prairie Du Sac, WI 53578-2041
Phone: (608) 644-0909

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 10757-16 (WI)

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Registry record

NPI: 1114535697
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2020
Record last updated: 21 Jul 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.