Healthcare Provider Details

I. General information

NPI: 1245639657
Provider Name (Legal Business Name): JENNIFER WOJAK RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2014
Last Update Date: 08/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2983 S 106TH ST
WEST ALLIS WI
53227-3517
US

IV. Provider business mailing address

2983 S 106TH ST
WEST ALLIS WI
53227-3517
US

V. Phone/Fax

Practice location:
  • Phone: 414-588-4683
  • Fax:
Mailing address:
  • Phone: 414-588-4683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: