Individual
ANGELA MARIE STAHANCYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
304 W ADAMS, SISTERS, OR 97759
(541) 549-0109
Mailing address
5637 SW HARVEST AVE, REDMOND, OR 97756-8139
(541) 504-0883
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3861
OR
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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