Individual
PAULETTE S BASS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2901 MILITARY ST, PORT HURON, MI 48060-6630
(810) 987-3340
(810) 987-5554
Mailing address
2901 MILITARY ST, PORT HURON, MI 48060-6630
(810) 987-3340
(810) 987-5554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015807
MI
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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