Individual
DR. ELISE CHANTEL SOULLIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2837 STABLE DR, KIMBALL, MI 48074-1441
(810) 985-3301
Mailing address
2222 COURT ST, PORT HURON, MI 48060-4938
(810) 841-8966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022358
MI
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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