Individual
SEAN P STANNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4170 PONTIAC LAKE RD, WATERFORD, MI 48328-1282
(248) 673-7300
(248) 673-4614
Mailing address
5862 INDEPENDENCE LN, WEST BLOOMFIELD, MI 48322-1848
(248) 672-8502
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
12617
MI
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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