License Directory

Cody E Wall

Active

Michigan license 2902020456

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2902020456
Status
Active
First issued
May 24, 2023
Expires
May 24, 2029
License holder
Cody E Wall
Entity type
Individual

Classifications

  • Dental Hygienist (Dentistry) Dental

More from the license record

Specialties
Local Anesthesia,Nitrous Oxide

Contact

11019 Edgemont Ave
Warren, MI 48089
Macomb County