MISS Alisa Puvalowski, RDH

NPI #1386135879 in New Haven, Michigan

Provider Information

NPI Number: 1386135879
Entity Type: Individual
Name: MISS Alisa Puvalowski, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: May 21, 2018
Last Updated: May 21, 2018

Practice Location

Address: 58144 GRATIOT AVE
City: New Haven
State: Michigan
ZIP Code: 48048
Phone: (586) 749-8002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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