Individual
MS. PATRICE JOANN HORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 554-3880
Mailing address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 554-3880
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902003599
MI
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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