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Lisa Sue Ristau, RDH
Dental Hygienist in Kenosha, Wisconsin
NPI 1952476632

Lisa Sue Ristau is a Dental Hygienist based in Kenosha, WI. Lisa Sue Ristau practices in Kenosha, WI and has the professional credentials of RDH. The NPI Number for Lisa Sue Ristau is 1952476632 and holds a License No. 6917-016 (Wisconsin).

The current practice location address for Lisa Sue Ristau is 4536 22Nd Ave, Kenosha, WI and can be reached out via phone at 262-656-0044 and via fax at 262-653-2218. You can also correspond with Lisa Sue Ristau through the mailing address at 4607 19TH AVE LOWR, KENOSHA, WI - 53140-3249 (mailing address contact number: 262-705-6789).

Location: 4536 22Nd Ave, Kenosha, WI, 53140-3249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952476632
Provider Name
Lisa Sue Ristau
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
4536 22Nd Ave, Kenosha, WI, 53140-3249
Phone Number
262-656-0044
Fax Number
262-653-2218
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33805500 05 WI
institution
Provider Business Practice Location Address Details
Address
4536 22Nd Ave
City
Kenosha
State
Wisconsin
Zip
53140-5917
Phone Number
262-656-0044
Fax Number
262-653-2218
person
Provider Business Mailing Address Details
Address
4536 22Nd Ave
City
Kenosha
State
Wisconsin
Zip
53140-5917
Phone Number
262-656-0044
Fax Number
262-653-2218
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
6917-016 (Wisconsin)
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.
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