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Individual

JANICE NULL BASTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 N CALEDONIA DR, OWOSSO, MI 48867-8844
(989) 729-4848
(989) 921-4959
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 759-6464

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902011299
MI

Other

Enumeration date
07/20/2023
Last updated
07/20/2023
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