Individual
RANDA BAKOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27753 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3477
(248) 582-8060
Mailing address
30701 TOWNLEY ST, MADISON HEIGHTS, MI 48071-2152
(586) 846-1101
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902017403
MI
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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