Individual
STEPHANIE SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1145 19TH ST NW STE 314, WASHINGTON, DC 20036-3717
(202) 701-1555
Mailing address
1145 19TH ST NW STE 314, WASHINGTON, DC 20036-3717
(202) 701-1555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021982
MI
1223E0200X
Endodontics
Primary
DEN1002020
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017192835
—
DC
Enumeration date
07/11/2016
Last updated
03/03/2020
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