Individual
JANE FORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29880 MARSHALL DR, WESTLAND, MI 48186-7361
(313) 220-9660
Mailing address
29880 MARSHALL DR, WESTLAND, MI 48186-7361
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902009351
MI
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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