Individual
TINA LEE ZIEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
20737 E 13 MILE RD, ROSEVILLE, MI 48066-4503
(586) 294-7810
Mailing address
708 S GOMAS CT, DURAND, MI 48429-1762
(989) 721-1124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901023220
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
06/17/2019
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