Individual
MS. DORIS D OGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4727 ST ANTOINE STREET, SUITE 408, DETROIT, MI 48201
(313) 833-7309
(313) 833-5022
Mailing address
4727 ST ANTOINE STREET, SUIT 408, DETROIT, MI 48201
(313) 833-7309
(313) 833-5022
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
L493262
MI
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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