STACIE BANGHART

BERKLEY, MI
NPI1932663176
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902017600)
Enumeration Date2019-01-22
Last Update Date2019-01-22
Business Address
STACIE BANGHART RDH
2741 12 MILE RD
BERKLEY, MI 48072-1629
Phone number: 248-439-0088
Mailing Address
STACIE BANGHART RDH
2741 12 MILE RD
BERKLEY, MI 48072-1629
Phone number: 248-439-0088
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