JISHA TONY PANICKER

LANSING, MI
NPI1952153314
Former NameJISHA MULLASSERIL TITUS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901602091)
Enumeration Date2024-04-01
Last Update Date2024-07-12
Business Address
JISHA TONY PANICKER
6111 S CEDAR ST
LANSING, MI 48911-5714
Phone number: 517-393-3447
Mailing Address
JISHA TONY PANICKER
1854 S PENNFIELD LN
CANTON, MI 48188-2559
Phone number: 408-230-4878
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