Individual
LETICIA DANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
845 MICHIGAN AVE, MARYSVILLE, MI 48040-1404
(810) 364-5050
(810) 364-5688
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6622
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301033874
MI
Other
Enumeration date
10/13/2008
Last updated
06/28/2011
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