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Individual

MS. IESHA QUINETTA MEREDITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 MARKET ST STE C, MOUNT CLEMENS, MI 48043-7403
(586) 783-2222
(786) 229-1223
Mailing address
3256 BURLINGAME ST, DETROIT, MI 48206-1436
(313) 648-3081

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902014413
MI

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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