Healthcare Provider Details
I. General information
NPI: 1891326898
Provider Name (Legal Business Name): CLARA POPARAD-STEZAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/28/2020
Last Update Date: 08/08/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22151 MOROSS RD STE 155
DETROIT MI
48236-2167
US
IV. Provider business mailing address
22151 MOROSS RD STE 155
DETROIT MI
48236-2167
US
V. Phone/Fax
- Phone: 313-499-4775
- Fax:
- Phone: 313-499-4775
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: