Most Relevant Information
Provider Data
| NPI Number: | 1003543026 |
| Provider Name: | PAULA LEA BIRD RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 4113-16 |
Most Important Dates
| Enumeration Date: | 08/01/2022 |
| Last Updated: | 08/01/2022 |
Provider Practice Location
24663 ANGELINE AVE
WEBSTER
WI
548939246
Practice Location Phone/Fax
| Phone: | 7153498554 |
| Fax: |
Provider Mailing Location
30227 SELMA LEA RD
DANBURY
WI
548309727
Provider Mailing Phone/Fax
| Phone: | 7155661492 |
| Fax: |