Individual
DR. STEPHEN CHARLES DEGENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2877 CROOKS RD STE A, TROY, MI 48084-4717
(248) 643-6551
Mailing address
2877 CROOKS RD STE A, TROY, MI 48084-4717
(248) 643-6551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022756
MI
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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