Individual
DR. KYLE MISSANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
53 SOUTHBOUND GRATIOT AVE, MOUNT CLEMENS, MI 48043-2386
(586) 468-5025
Mailing address
53 SOUTHBOUND GRATIOT AVE, MOUNT CLEMENS, MI 48043-2386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600584
MI
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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