Individual
MISS CAROLYN GRACE DEJONGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
33533 W 12 MILE RD STE 150, FARMINGTON HILLS, MI 48331-5600
(248) 442-6600
Mailing address
33533 W 12 MILE RD STE 150, FARMINGTON HILLS, MI 48331-5600
(248) 442-6600
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902019139
MI
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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