Individual
OTERIA MICHELLE EXUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3245 GARDEN ST, TITUSVILLE, FL 32796-3004
(321) 269-2700
(321) 269-6045
Mailing address
595 TIMUQUANA DR, MERRITT ISLAND, FL 32953-6010
(321) 480-0638
(321) 269-6045
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0011991
FL
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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