Individual
MRS. BARDHA KRASNIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7559 36TH AVE STE 400, HUDSONVILLE, MI 49426-7651
(616) 229-7177
Mailing address
7559 36TH AVE STE 400, HUDSONVILLE, MI 49426-7651
(616) 229-7177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2205
ND
122300000X
Dentist
Primary
2901022551
MI
1223D0001X
Public Health Dentistry
2205
ND
Other
Enumeration date
10/20/2011
Last updated
02/05/2022
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