Michelle Banagale Stillman, DMD . PA

NPI #1023274784 in Mt. Dora, Florida

Provider Information

NPI Number: 1023274784
Entity Type: Individual
Name: Michelle Banagale Stillman, DMD . PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD . PA
Enumeration Date: Aug 1, 2008
Last Updated: Oct 29, 2019

Practice Location

Address: 541 N DONNELLY STREET
City: Mt. Dora
State: Florida
ZIP Code: 32757
Phone: (352) 383-8112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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