Individual
MS. BETSY LYNN SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7040 MCKAY RD, JACKSON, MI 49201-9261
(517) 740-5620
(517) 563-0957
Mailing address
7040 MCKAY RD, JACKSON, MI 49201-9261
(517) 740-5620
(517) 563-0957
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902011118
MI
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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