Individual
MARK DAVID RAMTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
119 S STATE ST, SHELBY, MI 49455-1243
(231) 861-2130
(231) 861-0019
Mailing address
1131 S OCEANA DR, SHELBY, MI 49455-9634
(231) 286-3134
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018266
MI
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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