Individual
LONNITA LOUISE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
10028 ALLEN POINTE DR, ALLEN PARK, MI 48101-1785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022495
MI
Other
Enumeration date
09/13/2017
Last updated
03/17/2018
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