License Directory

Suzanne Kristen Port

Active

Michigan license 2901018529

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2901018529
Status
Active
First issued
November 21, 2002
Expires
November 21, 2027
License holder
Suzanne Kristen Port
Entity type
Individual

Classifications

More from the license record

Specialties
Pediatric Dentistry

Contact

291 W Lakewood Blvd
Suite 5
Holland, MI 49424
Ottawa County