Individual
DR. MICHELLE ZOETEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
605 E 170TH ST, SOUTH HOLLAND, IL 60473-3408
(708) 339-5650
Mailing address
605 E 170TH ST, SOUTH HOLLAND, IL 60473-3408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01925046
IL
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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