Individual
BRANDY L ZANTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 CHARLES STREET, BANGOR, MI 49013
(269) 427-7969
(269) 427-9539
Mailing address
50 INDUSTRIAL PARK DRIVE, BANGOR, MI 49013
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902014552
MI
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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