Individual
DR. STACEY CHRISTINE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
37 COMMERCE ST, CLINTON, CT 06413-2054
(860) 669-5777
Mailing address
37 COMMERCE ST, CLINTON, CT 06413-2054
(860) 669-5777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9372
CT
Other
Enumeration date
11/19/2008
Last updated
03/21/2023
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