Individual
MRS. TRACY RENEE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2700 HAMLIN BLVD, INKSTER, MI 48141-2206
(313) 561-5100
Mailing address
8303 N WARWICK CT, YPSILANTI, MI 48198-8406
(313) 402-0449
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902009217
MI
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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