Individual
DR. MARY ANN HARCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDSPC
Contact information
Practice address
4204 PONTIAC LAKE RD, WATERFORD, MI 48328
(248) 682-2050
(248) 618-3742
Mailing address
4204 PONTIAC LAKE RD, WATERFORD, MI 48328
(248) 682-2050
(248) 618-3742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13752
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12 3053026
—
MI
Enumeration date
08/10/2007
Last updated
09/29/2020
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