Individual
CATHERINE HAVILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901600828
MI
122300000X
Dentist
5315206395
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4301514879
MI
Other
Enumeration date
05/31/2019
Last updated
08/19/2025
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