NPI 1184021230

Amanda Marie Beversdorf, RDH

Practitioner Dental Hygienist Wausau, WI

Practice location

Address: 413 N 17th Ave, Wausau, WI 54401
Phone: (715) 842-4649

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 10617-016 (WI)

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Registry record

NPI: 1184021230
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2014
Record last updated: 4 Dec 2014

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.