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Individual

DR. KATELYN MARIE NIETEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
611 E BROADWAY ST, MT PLEASANT, MI 48858-2793
(989) 773-5299
Mailing address
PSC 558 BOX 3539, FPO, AP 96375-0036
(989) 796-4442

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020915
MI

Other

Enumeration date
06/05/2013
Last updated
09/11/2025
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