Individual
SALLY A. STOMMEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11745 E MICHIGAN AVE, GRASS LAKE, MI 49240-9219
(517) 522-5018
(517) 522-3708
Mailing address
11745 E MICHIGAN AVE, P.O. BOX 275, GRASS LAKE, MI 49240-9219
(517) 522-5018
(517) 522-3708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12850
MI
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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