Organization
STINES DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANNE STINES DDS (PRESIDENT)
(517) 552-9210
Entity
Organization
Contact information
Practice address
24450 EVERGREEN RD, SUITE101, SOUTHFIELD, MI 48075-5518
(248) 350-3366
Mailing address
24450 EVERGREEN RD, SUITE101, SOUTHFIELD, MI 48075-5518
(248) 350-3366
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901009380
MI
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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