Individual
MARISSA ANNE SULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4501 24 MILE RD STE A, SHELBY TOWNSHIP, MI 48316-3005
(586) 263-4720
Mailing address
2701 GOLFVIEW DR APT 102, TROY, MI 48084-3803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601007
MI
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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