Specialty Certification:

Pediatric Dentistry

Status:

Active

Issue Date:

07/21/2021

Expiration Date:

05/23/2028

City:

Waterford

State or Province:

Michigan

ZIP or Postal Code:

48328

CS Record Number:

5315085977

CS Status:

Active

CS Expiration Date:

05/23/2028

City:

Hazel Park

State or Province:

Michigan

ZIP or Postal Code:

48030

CS Record Number:

5315228073

CS Status:

Active

CS Expiration Date:

05/23/2028

City:

Troy

State or Province:

Michigan

ZIP or Postal Code:

48083

CS Record Number:

5315228222

CS Status:

Lapsed

CS Expiration Date:

05/23/2025

City:

Southfield

State or Province:

Michigan

ZIP or Postal Code:

48075

CS Record Number:

5315228224

CS Status:

Lapsed

CS Expiration Date:

08/31/2021