Individual
ODELIZ CASAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2929 BURLINGAME AVE SW, WYOMING, MI 49509-2600
(616) 965-8333
Mailing address
2929 BURLINGAME AVE SW, WYOMING, MI 49519
(616) 893-0911
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018363
MI
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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