Individual
AUSTIN ROBERT STEBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4505 CASCADE RD SE # A, GRAND RAPIDS, MI 49546-8381
(616) 228-1210
Mailing address
3174 LOWINGSIDE DR, JENISON, MI 49428-8781
(616) 322-5491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600126
MI
Other
Enumeration date
06/12/2019
Last updated
06/16/2020
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