NPI 1033660154

Lauren Thacker, RDH

Practitioner Dental Hygienist West Bloomfield, MI

Practice location

Address: 4301 Orchard Lake Rd Suite 180-184, West Bloomfield, MI 48323-1604
Phone: (888) 629-7773
Mailing address: 5072 Cutty Ln, Warren, MI 48092-6324

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2902017535 (MI)

Other Dental Hygienist providers in Michigan →

Registry record

NPI: 1033660154
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2016
Record last updated: 24 Oct 2016

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.