NPI 1124385406

Kimberly Boudreaux, RDH

Practitioner Dental Hygienist Mount Pleasant, WI

Practice location

Address: 5559 Deerfield Rd, Mount Pleasant, WI 53406-1819
Phone: (262) 770-1824

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 6369-016 (WI)

Other Dental Hygienist providers in Wisconsin →

Registry record

NPI: 1124385406
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2012
Record last updated: 11 Apr 2012

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.