Dominique Taylor Otto, RDH

NPI #1205543733 in Macomb, Michigan

Provider Information

NPI Number: 1205543733
Entity Type: Individual
Name: Dominique Taylor Otto, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 3, 2022
Last Updated: Nov 3, 2022

Practice Location

Address: 52856 HAYES RD
City: Macomb
State: Michigan
ZIP Code: 48042-3507
Phone: (586) 697-5272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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