Individual
KRISTI MARIE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
122 HIGHLAND DR, JACKSON, MI 49201-9164
(517) 740-7422
Mailing address
225 ADAMS ST, CHELSEA, MI 48118-1045
(404) 451-0070
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2902010730
STATE OF MICHIGAN LICENSE
MI
Enumeration date
09/12/2019
Last updated
09/12/2019
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