Organization
DENTAL HYGIENE VISITING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE LORAY MCCLENIC RDH (OWNER-HYGIENIST)
(313) 407-1400
Entity
Organization
Contact information
Practice address
38 ADELAIDE ST, DETROIT, MI 48201-3111
(313) 407-1400
(313) 784-9136
Mailing address
38 ADELAIDE ST, DETROIT, MI 48201-3111
(313) 407-1400
(313) 784-9136
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902010375
MI
Other
Enumeration date
10/12/2013
Last updated
10/12/2013
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