Individual
DR. KRISTA LYNN WORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8136 21 MILE RD, SHELBY TWP., MI 48317
(586) 726-0606
(586) 726-1523
Mailing address
8136 21 MILE RD, SHELBY TWP., MI 48317
(586) 726-0606
(586) 726-1523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017295
MI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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