Individual
YESSICA ESCUTIA PONCE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2700 BAKER ST, MUSKEGON, MI 49444
(231) 737-8603
(231) 737-9012
Mailing address
2700 BAKER ST, MUSKEGON HEIGHTS, MI 49444-2157
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2901022334
MI
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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