Individual
CARRILYN FLORENCE STOBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
303 N CEDAR ST, KALKASKA, MI 49646-8424
(231) 258-9061
(231) 258-9497
Mailing address
303 N CEDAR ST, PO BOX 69, KALKASKA, MI 49646-8424
(231) 258-9061
(231) 258-9497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017739
MI
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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