Individual
LAWANDA PEGUESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
2700 HAMLIN BLVD, INKSTER, MI 48141-2206
(313) 561-5100
Mailing address
2700 HAMLIN BLVD, INKSTER, MI 48141-2206
(313) 567-5100
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902014769
MI
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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