Wallace, Leanne Michelle

Wallace, Leanne Michelle is an individual health care provider with primary practice located at 2215 Fuller Rd , Ann Arbor MI 48105-2303. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Wallace, Leanne Michelle can be contacted via phone (734) 845-3411.

Contact Information

Primary practice address
2215 Fuller Rd Ann Arbor MI 48105-2303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X L751004 Michigan

Profile Details

NPI number 1457518953
LBN Legal business name Wallace, Leanne Michelle
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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