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Organization

STELLAR DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ODETA DINELLA-MANUSHI (DENTIST)
(586) 939-5980
Entity
Organization

Contact information

Practice address
5556 METRO PKWY STE B, STERLING HEIGHTS, MI 48310-4110
(586) 939-5980
(586) 939-3409
Mailing address
5556 METRO PKWY STE B, STERLING HEIGHTS, MI 48310-4110
(586) 939-5980
(586) 939-3409

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
197980
ODETA DINELLA-MANUSHI
MI
Enumeration date
07/27/2022
Last updated
09/07/2022
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