Individual
MISS SUSAN MICHELLE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
117 W PATERSON ST, KALAMAZOO, MI 49007-2557
(269) 349-2641
Mailing address
544 PINE KNOLL CIR APT 2A, BATTLE CREEK, MI 49014-7719
(269) 578-6888
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902008760
MI
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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