Bryan T Stump, DMD

NPI #1477696706 in Petoskey, Michigan

Provider Information

NPI Number: 1477696706
Entity Type: Individual
Name: Bryan T Stump, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1642 US 131 SOUTH
City: Petoskey
State: Michigan
ZIP Code: 49770
Phone: (231) 347-4662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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