Individual
DR. STEPHANIE STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1590 BALDWIN AVE, AUBURN HILLS, MI 48340
(248) 338-3770
Mailing address
2485 W WALTON BLVD, WATERFORD TOWNSHIP, MI 48329-4435
(248) 653-4278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021341
MI
1223G0001X
General Practice Dentistry
2901021341
MI
Other
Enumeration date
03/15/2016
Last updated
03/17/2018
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