Individual
MISS MICHELLE MARIE WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-6280
(413) 592-1765
Mailing address
153 OLD FIELD ROAD, CHICOPEE, MA 01013-1458
(413) 326-0930
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH87536
MA
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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