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Souksakhone McTaggart

Active

Michigan license 2902013377

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2902013377
Status
Active
First issued
December 9, 2002
Expires
December 9, 2027
License holder
Souksakhone McTaggart
Entity type
Individual

Classifications

  • Dental Hygienist (Dentistry) Dental

Contact

5063 S Colonial Dr
Traverse City, MI 49685
Osceola County