Individual
MRS. CAROLYNN ANN ZEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DEPARTMENT OF PEDIATRIC DENTISTRY, DETROIT, MI 48208-2576
(313) 494-6792
(313) 494-6842
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DEPARTMENT OF PEDIATRIC DENTISTRY, DETROIT, MI 48208-2576
(313) 494-6792
(313) 494-6842
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902013814
MI
126800000X
Dental Assistant
2903002147
MI
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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