Individual
KELLY MARIE CHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3250 PLYMOUTH RD STE 104, ANN ARBOR, MI 48105-2555
(734) 717-4765
Mailing address
3031 CEDARBROOK RD, ANN ARBOR, MI 48105-3406
(734) 717-4765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601339
MI
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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