Gendron, Alicia Nicole

Gendron, Alicia Nicole is an individual health care provider with primary practice located at 2280 W Mason St , Green Bay WI 54303-4707. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gendron, Alicia Nicole can be contacted via phone (920) 321-3501.

Contact Information

Primary practice address
2280 W Mason St Green Bay WI 54303-4707
Phone: (920) 321-3501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 1003347-16 Wisconsin

Profile Details

NPI number 1467934851
LBN Legal business name Gendron, Alicia Nicole
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2018
Last updated Aug 31st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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