Individual
MS. KATHERINE GRACE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1322 PEMBROKE LN, OXFORD, MI 48371-5924
(248) 978-6840
Mailing address
1322 PEMBROKE LN, OXFORD, MI 48371-5924
(248) 978-6840
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902011809
MI
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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