Candace Tate, RDH

NPI #1104487842 in Pontiac, Michigan

Provider Information

NPI Number: 1104487842
Entity Type: Individual
Name: Candace Tate, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 24, 2019
Last Updated: Jun 24, 2019

Practice Location

Address: 816 JOSLYN AVE
City: Pontiac
State: Michigan
ZIP Code: 48340-2919
Phone: (248) 758-1231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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