Organization
COPPER COUNTRY ORTHODONTIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUAZN MARIE STACKNIK D.D.S., M.S. (PRESIDENT OWNER)
(906) 482-0015
Entity
Organization
Contact information
Practice address
124 QUINCY ST, HANCOCK, MI 49930-1827
(906) 482-0015
(906) 482-3225
Mailing address
124 QUINCY ST, HANCOCK, MI 49930-1827
(906) 482-0015
(906) 482-3225
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901011868
MI
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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