SANKA DIVIC

GRAND RAPIDS, MI
NPI1679946263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902014498)
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
-- SANKA DIVIC RDH
2055 ROSEWOOD AVE SE
GRAND RAPIDS, MI 49506-5248
Phone number: 616-776-5110
Mailing Address
-- SANKA DIVIC RDH
2453 BLUFF MEADOWS DR SE
GRAND RAPIDS, MI 49546-7910
Phone number: 616-956-9265