Individual
BIANCA MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5555 CONNER ST, DETROIT, MI 48213-3448
(313) 844-4953
Mailing address
5555 CONNER ST, DETROIT, MI 48213-3448
(313) 844-4953
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902017559
MI
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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