Individual
IRENE SEA HADDOCK ZILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1793 W STADIUM BLVD, ANN ARBOR, MI 48103-5288
(734) 662-3222
Mailing address
1793 W STADIUM BLVD, ANN ARBOR, MI 48103-5288
(734) 662-3222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020004
MI
122300000X
Dentist
DEN-10206
CO
Other
Enumeration date
08/10/2010
Last updated
07/10/2012
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