Copper Country Orthodontist, P.c.

NPI #1417009259 in Hancock, Michigan

Provider Information

NPI Number
1417009259
Entity Type
Organization
Organization Name
Copper Country Orthodontist, P.c.
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jan 18, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
124 QUINCY ST
ZIP Code
49930-1827
Phone
(906) 482-0015

Authorized Official

Name
DR. SUAZN MARIE STACKNIK, D.D.S., M.S.
Title
PRESIDENT OWNER
Phone
(906) 482-0015

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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