Individual
CHRISTINE M STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
130 MEDICAL CENTER DR, CARLETON, MI 48117-9461
(734) 654-2169
(734) 654-2535
Mailing address
130 MEDICAL CENTER DR, CARLETON, MI 48117-9461
(734) 654-2169
(734) 654-2535
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902009442
MI
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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