Individual
AMANDA MARIE DESJARDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
205 GROVE ST, MANCELONA, MI 49659
(231) 587-5068
Mailing address
989 W WASHINGTON ST, SUITE 104, MARQUETTE, MI 49855-4064
(906) 226-9992
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019777
MI
Other
Enumeration date
06/09/2008
Last updated
06/27/2018
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