Marisa Matthews
NPI #1346794708 in White Lake, Michigan
Provider Information
- NPI Number
- 1346794708
- Entity Type
- Individual
- Name
- Marisa Matthews
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- Aug 15, 2016
- Last Updated
- Aug 15, 2016
Practice Location
- Address
- 5780 EAGLE RD
- City
- White Lake
- State
- Michigan
- ZIP Code
- 48383-1210
- Phone
- (248) 961-0438
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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| Dean Alcorn, RDH BS | |
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