Individual
KALLISSE RHYONNAH DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NLLP
Contact information
Practice address
210 S 5TH AVE, ANN ARBOR, MI 48104-2216
(734) 764-3471
Mailing address
1718 HARDING RD, ANN ARBOR, MI 48104-4542
(989) 295-4406
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
6352000962
MI
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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