Individual
MELISSA ANN HUTTENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2840 ORCHARD HWY, MANISTEE, MI 49660-9754
(231) 398-2258
Mailing address
2840 ORCHARD HWY, MANISTEE, MI 49660-9754
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902015790
MI
Other
Enumeration date
04/01/2019
Last updated
06/11/2019
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