Individual
MISS KAYLA MARIA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
209 S GROVE ST APT 108, YPSILANTI, MI 48198-5671
(734) 833-4936
Mailing address
209 S GROVE ST APT 108, YPSILANTI, MI 48198-5671
(734) 833-4936
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902020243
MI
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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