Individual
EMILY SIERRA FAVOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
291 W LAKEWOOD BLVD STE 105, HOLLAND, MI 49424-1969
(616) 392-1100
Mailing address
942 4 MILE RD NW APT 3C, GRAND RAPIDS, MI 49544-1589
(928) 863-8150
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018167
MI
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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