Individual
DR. STEPHANIE LYNN SO COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
100 WOODS CIR STE 600, ALPENA, MI 49707-1445
(989) 356-4898
Mailing address
904 N BEAVER ST, FLAGSTAFF, AZ 86001-3108
(928) 853-6068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601287
MI
122300000X
Dentist
D008824
AZ
Other
Enumeration date
08/12/2013
Last updated
07/13/2022
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