| Outreach 4 Healthy Teeth, Llc | |
|
500 College Ave Racine WI 53403-1058 | |
| (262) 620-6997 | |
| Not Available |
| Full Name | Outreach 4 Healthy Teeth, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 500 College Ave, Racine, Wisconsin |
| Authorized Official Name and Position | Michelle Fox (OWNER/DENTAL HYGIENIST) |
| Authorized Official Contact | 2626206997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach 4 Healthy Teeth, Llc 500 College Ave Racine WI 53403-1058 Ph: (262) 620-6997 | Outreach 4 Healthy Teeth, Llc 500 College Ave Racine WI 53403-1058 Ph: (262) 620-6997 |
| NPI Number | 1083254064 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083254064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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