MS. Nicole Loetz, R.D.H

NPI #1578930178 in Wayland, Michigan

Provider Information

NPI Number: 1578930178
Entity Type: Individual
Name: MS. Nicole Loetz, R.D.H
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: R.D.H
Enumeration Date: Aug 31, 2015
Last Updated: Aug 31, 2015

Practice Location

Address: 404 W SUPERIOR ST
City: Wayland
State: Michigan
ZIP Code: 49348-1223
Phone: (269) 792-0144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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