Lawanda Peguese, DENTAL HYGIENIST

NPI #1154864569 in Inkster, Michigan

Provider Information

NPI Number: 1154864569
Entity Type: Individual
Name: Lawanda Peguese, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: Dec 2, 2016
Last Updated: Dec 2, 2016

Practice Location

Address: 2700 HAMLIN BLVD
City: Inkster
State: Michigan
ZIP Code: 48141-2206
Phone: (313) 561-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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