Organization
STINE FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE ELAINE STINE CPA (INACTIVE) (BUSINESS MANAGER/MEMBER)
(419) 626-4696
Entity
Organization
Contact information
Practice address
1801 E PERKINS AVENUE, SANDUSKY, OH 44870
(419) 626-4696
(419) 626-4170
Mailing address
1801 E PERKINS AVENUE, SANDUSKY, OH 44870
(419) 626-4696
(419) 626-4170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-020781
OH
Other
Enumeration date
08/29/2006
Last updated
03/21/2014
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