Individual
KRISTA LYNN PIETILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56901 S 6TH ST, STE 1 & 2, CALUMET, MI 49913-2946
(906) 483-1177
(906) 483-1188
Mailing address
894 CAMPUS DR, STE B, HANCOCK, MI 49930-1644
(906) 483-1445
(906) 483-1122
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
MI
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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