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Individual

NADEJDA P STEFANOVA-STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
644 YARDLEY CT, WEBSTER, NY 14580-9461
(682) 551-1543
Mailing address
644 YARDLEY CT, WEBSTER, NY 14580-9461

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055537
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/11/2009
Last updated
11/04/2022
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