NPI 1225544679
Tamara Green, RDH
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
Registry record
- NPI
- 1225544679
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Dec 2017
- Record last updated
- 21 Dec 2017
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.