Individual
DR. STEPHANIE KAY RUDISH BARQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3530 JERSEY RIDGE RD, DAVENPORT, IA 52807-2223
(563) 344-4848
(563) 344-4868
Mailing address
3530 JERSEY RIDGE RD, DAVENPORT, IA 52807-2223
(563) 344-4848
(563) 344-4868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7937
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216192
—
IA
Enumeration date
10/13/2006
Last updated
07/09/2007
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