Individual
MADISON STUBBENDIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4324 LAKEVIEW GLEN DR, MEDINA, OH 44256-6513
(330) 635-3068
Mailing address
4324 LAKEVIEW GLEN DR, MEDINA, OH 44256-6513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.028431
OH
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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