Individual
MRS. BONNY KAYE MATTHYSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3185 CORPORATE GROVE DR, SUITE A, HUDSONVILLE, MI 49426-8021
(606) 896-7600
(616) 896-8724
Mailing address
3185 CORPORATE GROVE DR, SUITE A, HUDSONVILLE, MI 49426-8021
(606) 896-7600
(616) 896-8724
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902005277
MI
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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