Individual
AMY SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7459 CAPRI ST, PORTAGE, MI 49002-9420
(269) 370-1258
Mailing address
7459 CAPRI ST, PORTAGE, MI 49002-9420
(269) 370-1258
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902011976
MI
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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