Individual
CHASITY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 GRANT ST, NILES, MI 49120-2281
(269) 247-1053
Mailing address
1951 OAK ST, NILES, MI 49120-3738
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902020639
MI
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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