NPI 1215543004

Alissa S Lange, DENTALHYGIENIST

Practitioner Dental Hygienist Boscobel, WI

Practice location

Address: 105 E Bluff St, Boscobel, WI 53805-1610
Phone: (608) 654-5100
Fax: (608) 654-5120
Mailing address: PO Box 39, Cashton, WI 54619-0039

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 6282-16 (WI)

Other Dental Hygienist providers in Wisconsin →

Registry record

NPI: 1215543004
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2020
Record last updated: 17 Sep 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.