NPI 1275948416

Chrystal Sacheen Wedde, RDH

Practitioner Dental Hygienist Lac Du Flambeau, WI

Practice location

Address: 128 Old Abe Rd, Lac Du Flambeau, WI 54538-9386
Phone: (715) 588-4269
Fax: (715) 588-2484
Mailing address: PO Box 128, Lac Du Flambeau, WI 54538-0128

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 11577-16 (WI)

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Registry record

NPI: 1275948416
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2014
Record last updated: 26 Jun 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.