Whalio Doctors

NPI 1699387480

Kylie Janae Mix, RDH

Practitioner Dental Hygienist Traverse City, MI

Practice location

Address
10767 E Traverse Hwy, Traverse City, MI 49684-6219
Phone
(231) 947-1112
Fax
(231) 947-7739

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 2902012893 (MI)

Registry record

NPI
1699387480
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Aug 2020
Record last updated
21 Aug 2020

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.