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Organization
STOBERT DENTAL PC
Active
Organization
STOBERT DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRILYN FLORENCE STOBERT DDS (DENTIST)
(231) 258-9061
Entity
Organization
Contact information
Practice address
303 N CEDAR ST, KALKASKA, MI 49646-8424
(231) 258-9061
(231) 258-9497
Mailing address
303 N CEDAR ST, PO BOX 69, KALKASKA, MI 49646-8424
(231) 258-9061
(231) 258-9497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901017739
MI
1223G0001X
General Practice Dentistry
Primary
2901017745
MI
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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