Individual
KAYLA NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3085 W RUSSELL RD, TECUMSEH, MI 49286
(517) 423-2135
Mailing address
3085 W RUSSELL RD, TECUMSEH, MI 49286-1735
(517) 423-2135
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018039
MI
Other
Enumeration date
02/02/2018
Last updated
05/30/2018
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