Kaylee Michele Derusha, RDH

NPI #1235815671 in Newberry, Michigan

Provider Information

NPI Number: 1235815671
Entity Type: Individual
Name: Kaylee Michele Derusha, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 22, 2023
Last Updated: Jun 22, 2023

Practice Location

Address: 14150 HAMILTON LAKE RD
City: Newberry
State: Michigan
ZIP Code: 49868
Phone: (906) 293-5107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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