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DR. MYRIEL JAMAE WERNER DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1457961971

Individual Registrant:
DR. MYRIEL JAMAE WERNER DDS
Gender: F
Sole Proprietor

Location and contact information for practice:
125 N HIGH ST  RANDOLPH, WI 53956-1267 US
Tel: 920-326-3191  Fax: --

Contact information for business:
125 N HIGH ST  RANDOLPH, WI 53956-1267 US
Tel: 920-326-3191  Fax: --

Registration Information:
NPI: 1457961971
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
WI1002398

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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