Individual
REBECCA WATSON HIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
30737 7 MILE RD, LIVONIA, MI 48152-3376
(248) 476-9191
(248) 476-4599
Mailing address
16824 NEWBURGH RD, LIVONIA, MI 48154-1600
(734) 421-0121
(734) 421-0121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D194010
BLUE CROSS BLUESHIELD PIN
MI
Enumeration date
03/01/2007
Last updated
06/08/2016
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