KEISHA DENISE PARKS

DETROIT, MI
NPI1932502077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902015144)
Enumeration Date2014-10-03
Last Update Date2014-10-03
Business Address
Mrs. KEISHA DENISE PARKS RDH
5379 CRANE ST
DETROIT, MI 48213-2918
Phone number: 313-405-8972
Mailing Address
Mrs. KEISHA DENISE PARKS RDH
5379 CRANE ST
DETROIT, MI 48213-2918
Phone number: 313-405-8972