Organization
LINCOLN PARK DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY WAYNE STINES D.D.S. (PRESIDENT)
(313) 388-0103
Entity
Organization
Contact information
Practice address
3577 FORT ST, LINCOLN PARK, MI 48146-4114
(313) 388-0103
(313) 388-3219
Mailing address
3577 FORT ST, LINCOLN PARK, MI 48146-4114
(313) 388-0103
(313) 388-3219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11350
MI
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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