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Richaly Luce
Specialist in Green Bay, Wisconsin
NPI 1508115817

Richaly Luce is a Specialist based in Green Bay, WI. Richaly Luce practices in Green Bay, WI. The NPI Number for Richaly Luce is 1508115817 and holds a License No. 1003719 (Wisconsin).

The current practice location address for Richaly Luce is 424 S Monroe Ave Ste 106, Green Bay, WI and can be reached out via phone at 920-544-0346 and via fax at 920-489-8233.

Location: 424 S Monroe Ave Ste 106, Green Bay, WI, 54301-4054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508115817
Provider Name
Richaly Luce
Credential
Provider Entity Type
Individual
Gender
Female
Address
424 S Monroe Ave Ste 106, Green Bay, WI, 54301-4054
Phone Number
920-544-0346
Fax Number
920-489-8233
Provider Enumeration Date
08/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
424 S Monroe Ave Ste 106
City
Green Bay
State
Wisconsin
Zip
54301-4054
Phone Number
920-544-0346
Fax Number
920-489-8233
person
Provider Business Mailing Address Details
Address
424 S Monroe Ave Ste 106
City
Green Bay
State
Wisconsin
Zip
54301-4054
Phone Number
920-544-0346
Fax Number
920-489-8233
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
703436 (California)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1003719 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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