Jurrica Justyne Stanley, RDH

NPI #1114563145 in Baldwin, Michigan

Provider Information

NPI Number: 1114563145
Entity Type: Individual
Name: Jurrica Justyne Stanley, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 25, 2019
Last Updated: Nov 25, 2019

Practice Location

Address: 1615 MICHIGAN AVE
City: Baldwin
State: Michigan
ZIP Code: 49304-7984
Phone: (231) 745-5051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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