Individual
DR. PAMELA JANE DICKIESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
22615 MICHIGAN AVE, WEST VILLAGE DENTAL CARE, DEARBORN, MI 48124-2115
(313) 563-4466
(313) 563-1266
Mailing address
731 S LAFAYETTE ST, DEARBORN, MI 48124-2115
(313) 562-4625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015513
MI
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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