Individual
LISA SODERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
122 HIGHLAND DR, JACKSON, MI 49201-9164
(517) 740-7422
(517) 315-4918
Mailing address
8441 N P.11 DR, GLADSTONE, MI 49837-2654
(906) 280-4857
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902013702
MI
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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