Individual
SAMANTHA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51299 ROMEO PLANK RD, MACOMB, MI 48042-4114
(586) 697-5272
Mailing address
9470 GRATIOT AVE, COLUMBUS, MI 48063-3612
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902016884
MI
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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