Individual
MR. KERMIT WILLIAM STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2228 PACKARD RD, ANN ARBOR, MI 48104
(734) 761-5565
Mailing address
2228 PACKARD RD, ANN ARBOR, MI 48104
(734) 761-5565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15091
MI
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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