Individual
MRS. STACY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1535 LINCOLN RD, ALLEGAN, MI 49010-8197
(269) 673-3619
Mailing address
353 41ST ST, ALLEGAN, MI 49010-9193
(269) 214-2779
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902017012
MI
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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