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Individual

JEAN M STOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
3434 M 119 STE G, HARBOR SPRINGS, MI 49740-9373
(231) 348-3970
(231) 348-3946
Mailing address
3434 M 119 STE G, HARBOR SPRINGS, MI 49740-9373
(231) 348-3970
(231) 348-3946

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2901018239
MI
124Q00000X
Dental Hygienist
2902012500
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2902012500
MI
Enumeration date
11/25/2019
Last updated
11/25/2019
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