Stacie Banghart, RDH

NPI #1932663176 in Berkley, Michigan

Provider Information

NPI Number: 1932663176
Entity Type: Individual
Name: Stacie Banghart, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jan 22, 2019
Last Updated: Jan 22, 2019

Practice Location

Address: 2741 12 MILE RD
City: Berkley
State: Michigan
ZIP Code: 48072-1629
Phone: (248) 439-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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