Individual
MRS. LYNNETTE K COUNTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1308 N BURDICK ST, KALAMAZOO, MI 49007-2503
(269) 349-2641
(269) 488-3410
Mailing address
1308 N BURDICK ST, KALAMAZOO, MI 49007-2503
(269) 349-2641
(269) 488-3410
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902009704
MI
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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