Individual
SHARON BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32829 MEADOWBROOK LN, WARREN, MI 48093-6146
(734) 260-2601
Mailing address
32829 MEADOWBROOK LN, WARREN, MI 48093-6146
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902009855
MI
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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