Individual
MR. STEVEN M DATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
170 MARCELL DR NE, SUITE #A, ROCKFORD, MI 49341-1300
(616) 884-5767
(616) 884-5789
Mailing address
170 MARCELL DR NE, SUITE #A, ROCKFORD, MI 49341-1300
(616) 884-5767
(616) 884-5789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15026
MI
Other
Enumeration date
05/23/2007
Last updated
06/23/2014
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