Individual
TERRA SHANNON HOUTHOOFD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1049 N PINE RD, ESSEXVILLE, MI 48732-1915
(989) 894-4611
(898) 942-6699
Mailing address
1049 N PINE RD, ESSEXVILLE, MI 48732-1915
(989) 894-4611
(898) 942-6699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020258
MI
1223G0001X
General Practice Dentistry
24182040602
MI
Other
Enumeration date
08/12/2010
Last updated
12/19/2024
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