Individual
PAULA SMIHAL WEIDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, MED
Contact information
Practice address
4291 GRATIOT AVE, FORT GRATIOT, MI 48059-3900
(810) 385-7545
Mailing address
4291 GRATIOT AVE, FORT GRATIOT, MI 48059-3900
(810) 385-7545
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902013552
MI
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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