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Individual
KAREN ANN MONROY
Active
Individual
KAREN ANN MONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018848
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374041755000
SERVICING PROVIDER NUMBER
—
01
—
381908328020
DENTAL BLUE
—
05
—
4622519
—
MI
01
—
88096MI
WADSWORTH
—
01
—
88123MI
BAYSIDE
—
01
—
88170MI
OUTER DRIVE
—
01
—
88171MI
COMMERCE
—
01
—
D801095
BLUE CROSS
—
01
—
O1618779
UNITED CONCORDIA
—
Enumeration date
10/11/2005
Last updated
09/25/2007
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