Individual
MICHELLE ENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902014957
MI
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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