Individual
DR. MARISA J. WELBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
717 S. HEALTH PKWY, THREE RIVERS, MI 49093-9362
(269) 279-7876
(269) 279-5823
Mailing address
717 S. HEALTH PKWY, THREE RIVERS, MI 49093-9362
(269) 279-7876
(269) 279-5823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019147
MI
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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