Individual
BECKI PENZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
33005 HICKORY CT, LENOX, MI 48048-2163
(810) 705-2854
Mailing address
33005 HICKORY CT, LENOX, MI 48048-2163
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902012082
MI
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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