Individual
JORDAN NICOLE DEMARTELAERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56720 CALUMET AVE, CALUMET, MI 49913-1967
(906) 483-1177
Mailing address
25201 MAPLE ST, CALUMET, MI 49913-1326
(517) 285-9877
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
19184080736
MI
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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