Individual
SARA DELENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S 7TH ST STE A, ONTONAGON, MI 49953-1497
(906) 884-6032
Mailing address
17229 BARAGA PLAINS RD, BARAGA, MI 49908-9157
(906) 353-6655
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902009144
MI
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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