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Emmalee Danielle Adiwidjaja

Active

Michigan license 2902019938

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2902019938
Status
Active
First issued
June 2, 2021
Expires
June 2, 2027
License holder
Emmalee Danielle Adiwidjaja
Entity type
Individual

Classifications

  • Dental Hygienist (Dentistry) Dental

More from the license record

Specialties
Local Anesthesia,Nitrous Oxide

Contact

53409 Hillside Dr
Shelby Twp, MI 48316
Macomb County