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MR. PAUL RICHARD STERN D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1780604843

Individual Registrant:
MR. PAUL RICHARD STERN D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
106 LOCUST  BIGRAPIDS, MI 49307 US
Tel: 231-796-8770  Fax: 231-796-4427

Contact information for business:
106 LOCUST  BIGRAPIDS, MI 49307 US
Tel: 231-796-8770  Fax: 231-796-4427

Registration Information:
NPI: 1780604843
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
MI2901018859
N1223G0001XDental Providers
Dentist
MI901018859

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS OF MID801041MI01
UNITED CONCORDIA846910MI01




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