Organization
JOHN J STEPANOVICH DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J STEPANOVICH DDS (DENTIST)
(616) 459-1267
Entity
Organization
Contact information
Practice address
260 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4597
(616) 459-1267
(616) 459-0673
Mailing address
260 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4597
(616) 459-1267
(616) 459-0673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07553
MI
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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