Individual
ANDREA HISLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6785 WEDDEL ST, TAYLOR, MI 48180-1922
(248) 320-1967
Mailing address
6785 WEDDEL ST, TAYLOR, MI 48180-1922
(248) 320-1967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022008
MI
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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