Individual
MARISSA PETRICE SWAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5135 S PENNSYLVANIA AVE, LANSING, MI 48911-4002
(517) 272-5053
Mailing address
5135 S PENNSYLVANIA AVE, LANSING, MI 48911-4002
(517) 272-5053
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018993
MI
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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