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DIANE MAGNUS RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1013409713

Individual Registrant:
 DIANE  MAGNUS RDH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
380 N STATE RD  OTISVILLE, MI 48463-9486 US
Tel: 810-631-4524  Fax: 810-631-7041

Contact information for business:
380 N STATE RD  OTISVILLE, MI 48463-9486 US
Tel: 810-631-4524  Fax: 810-631-7041

Registration Information:
NPI: 1013409713
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
MI

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MI - Page 1



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