Most Relevant Information
Provider Data
| NPI Number: | 1003393307 |
| Provider Name: | ASHLEY SUSAN CALLAHAN RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 10844-16 |
Most Important Dates
| Enumeration Date: | 07/19/2018 |
| Last Updated: | 07/19/2018 |
Provider Practice Location
711 W. MORELAND BLVD.
SUITE 204
WAUKESHA
WI
53188
Practice Location Phone/Fax
| Phone: | 2628969891 |
| Fax: |
Provider Mailing Location
711 W. MORELAND BLVD.
SUITE 204
WAUKESHA
WI
53188
Provider Mailing Phone/Fax
| Phone: | 2628969891 |
| Fax: |