Individual
TINA KOSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 PALMER ST, PONTIAC, MI 48341-1744
(248) 334-4569
Mailing address
160 PALMER ST, PONTIAC, MI 48341-1744
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902015565
MI
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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