Individual
DR. AMANDA LYNN DENOMME-STOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
591 W CHICAGO ST, COLDWATER, MI 49036-9189
(517) 279-7900
(517) 279-7914
Mailing address
591 W CHICAGO ST, COLDWATER, MI 49036-9189
(517) 279-7900
(517) 279-7914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901019418
DENTIST LICENSE
MI
Enumeration date
10/18/2006
Last updated
09/13/2010
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