Individual
COURTNEY DERUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
37304 KINGS HWY, BEAVER ISLAND, MI 49782-5134
(231) 547-7650
Mailing address
23280 N ROSEDALE CT, SAINT CLAIR SHORES, MI 48080-2615
(313) 549-3822
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902019194
MI
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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