Individual
DR. STEPHANIE LYNN HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1491 E 10TH ST, ROLLA, MO 65401-3996
(573) 364-2868
Mailing address
1491 E 10TH ST, ROLLA, MO 65401-3996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
041854
PA
1223G0001X
General Practice Dentistry
Primary
2022021327
MO
1223G0001X
General Practice Dentistry
61538
KS
Other
Enumeration date
07/24/2018
Last updated
08/12/2024
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