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CHRISTIE LEEANN MICHAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1715 CAPE CORAL PKWY W STE 11, CAPE CORAL, FL 33914-6914
(954) 873-4133
Mailing address
1715 CAPE CORAL PKWY W STE 11, CAPE CORAL, FL 33914-6914
(954) 873-4133

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN 18692
FL
1223P0221X
Pediatric Dentistry
Primary
DN18692
FL

Other

Enumeration date
07/26/2009
Last updated
11/22/2011
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