STEPHANIE LICA

DETROIT, MI
NPI1457077828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
Enumeration Date2022-10-17
Last Update Date2022-10-17
Business Address
STEPHANIE LICA RDH, BSDH
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208-2576
Phone number: 313-494-6939
Mailing Address
STEPHANIE LICA RDH, BSDH
38415 LANCASTER ST
LIVONIA, MI 48154-1523
Phone number: 734-536-0618
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