Individual
DR. ANGELA LYNN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1201 S ORTONVILLE RD, ORTONVILLE, MI 48462-7600
(248) 762-4850
Mailing address
1201 S ORTONVILLE RD, ORTONVILLE, MI 48462-7600
(248) 762-4850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
57713
CA
1223G0001X
General Practice Dentistry
055384
NY
1223G0001X
General Practice Dentistry
Primary
2901020788
MI
Other
Enumeration date
06/09/2009
Last updated
01/15/2015
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