Organization
STEPHEN E NECHVATAL DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA ANN LAUDERBAUGH (PRACTICE ADMINISTRATOR)
(810) 667-6855
Entity
Organization
Contact information
Practice address
1176 1/2 S LAPEER RD, STE B, LAPEER, MI 48446-3098
(810) 667-6855
(810) 667-6875
Mailing address
1176 1/2 S LAPEER RD, STE B, LAPEER, MI 48446-3098
(810) 667-6855
(810) 667-6875
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11747
OH
Other
Enumeration date
02/02/2009
Last updated
12/14/2011
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