Individual
DR. TERRY A SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 S CLARK ST, ATHENS, MI 49011-9799
(269) 419-8790
Mailing address
230 S CLARK ST, ATHENS, MI 49011-9799
(269) 419-8790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012175
MI
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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