Individual
MRS. MAYCE MANUEL KACHI GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
31396 NORTHWESTERN HWY STE A, FARMINGTON HILLS, MI 48334-2534
(248) 254-3945
(248) 254-3827
Mailing address
31396 NORTHWESTERN HWY STE A, FARMINGTON HILLS, MI 48334-2534
(248) 254-3945
(248) 254-3827
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4542688
—
MI
Enumeration date
12/01/2006
Last updated
11/18/2020
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