Individual
AMY STIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
800 M-139, BENTON HARBOR, MI 49022
(855) 869-6900
(269) 427-7937
Mailing address
50 INDUSTRIAL PARK RD, BANGOR, MI 49013-1246
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902017875
MI
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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