Lisa Sostecke

NPI #1508889916 in Rockford, Michigan

Provider Information

NPI Number
1508889916
Entity Type
Individual
Name
Lisa Sostecke
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
610 E DIVISION ST
ZIP Code
49341-1363
Phone
(616) 866-0164

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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