Individual
AMY NOBLE ISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
2300 HAGGERTY RD, WEST BLOOMFIELD, MI 48323-2184
(248) 926-4100
Mailing address
2300 HAGGERTY RD, WEST BLOOMFIELD, MI 48323-2184
(248) 926-4100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901020618
MI
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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