Individual
DR. PANNAPORN STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13173 60TH ST N, STILLWATER, MN 55082-1056
(651) 321-1007
Mailing address
621 9TH AVE NW, NEW BRIGHTON, MN 55112-4241
(323) 302-2600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14550
MN
Other
Enumeration date
05/20/2021
Last updated
07/06/2022
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