Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 18373 | MI |
NPI | 1659497329 |
---|---|
Provider Name | David R Studt |
First Address | Clarkston, MI 48346-3974 |
Second Address | Waterford, MI 48328-1282 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 08/07/2007 |