NPI 1013409713

Diane Magnus, RDH

Practitioner Dental Hygienist Otisville, MI

Practice location

Address: 380 N State Rd, Otisville, MI 48463-9486
Phone: (810) 631-4524
Fax: (810) 631-7041

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X

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Registry record

NPI: 1013409713
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2018
Record last updated: 30 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.