Individual
MRS. STACY NICOLE TARLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
572 RITCHIE HWY STE F, SEVERNA PARK, MD 21146-2966
(410) 647-4094
Mailing address
405 WASHINGTON BLVD, GLEN BURNIE, MD 21061-3883
(410) 608-0794
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8240
MD
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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