Individual
JENNIFER GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
380 N STATE RD, OTISVILLE, MI 48463-9486
(810) 631-4524
Mailing address
380 N STATE RD, OTISVILLE, MI 48463-9486
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
03/17/2018
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