Individual
CRISTIANE QUEIROZ VLIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
505 E ALCOTT ST, KALAMAZOO, MI 49001-6144
(269) 349-2641
Mailing address
3403 BIG BEND DR APT D, KALAMAZOO, MI 49048-1294
(269) 419-7389
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902020596
MI
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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