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Individual

DR. BROOKE NICOLE LEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
380 N STATE RD, OTISVILLE, MI 48463-9486
(810) 631-4524
Mailing address
380 N STATE RD, OTISVILLE, MI 48463-9486
(810) 631-4524

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601358
MI

Other

Enumeration date
06/29/2022
Last updated
10/15/2024
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