Organization
LAKE STATE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE STICKLER DDS (DR.)
(302) 841-0871
Entity
Organization
Contact information
Practice address
401 N LAKEVIEW AVE, STURGIS, MI 49091-1229
(302) 841-0871
Mailing address
519 COLUMBIA AVE, SAINT JOSEPH, MI 49085-2405
(302) 841-0871
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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