Individual
MRS. KAYLA LEE RIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, RDA
Contact information
Practice address
816 JOSLYN AVE, PONTIAC, MI 48340-2919
(248) 758-1231
Mailing address
4750 GROVELAND RD, ORTONVILLE, MI 48462-9075
(989) 295-4217
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018457
MI
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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