Individual
MRS. LESLIE SUE TIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3299 GULL RD, W1 G5, KALAMAZOO, MI 49048-1281
(269) 373-5158
Mailing address
3299 GULL RD, W1 G5, KALAMAZOO, MI 49048-1281
(269) 373-5158
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902011323
MI
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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