Most Relevant Information
Provider Data
| NPI Number: | 1003316837 |
| Provider Name: | MAYA LIKAVEC-WITRI RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 2902018273 |
Most Important Dates
| Enumeration Date: | 02/19/2018 |
| Last Updated: | 02/19/2018 |
Provider Practice Location
26750 GRAND RIVER AVE
REDFORD
MI
482401529
Practice Location Phone/Fax
| Phone: | 3135312000 |
| Fax: |
Provider Mailing Location
30921 LEE FRANK LN
MADISON HEIGHTS
MI
480712243
Provider Mailing Phone/Fax
| Phone: | 9894000123 |
| Fax: |