Individual
PAMELA DEKORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
21757 OAK DR, PIERSON, MI 49339-9305
(616) 293-3112
Mailing address
21757 OAK DR, PIERSON, MI 49339-9305
(616) 293-3112
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902009416
MI
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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