Individual
DR. CARLY PAIGE BACHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2911 W GRAND BLVD APT 2136, DETROIT, MI 48202-2645
(647) 308-9454
Mailing address
2911 W GRAND BLVD APT 2136, DETROIT, MI 48202-2645
(647) 308-9454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601791
MI
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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