Individual
KELLIE ANN MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30.027565
OH
Other
Enumeration date
05/28/2020
Last updated
08/08/2024
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