Individual
ALLYSON GENIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2929 BURLINGAME AVE SW, WYOMING, MI 49509-2600
(616) 965-8333
Mailing address
1758 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-6021
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902016383
MI
Other
Enumeration date
11/23/2015
Last updated
06/27/2016
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