Individual
MRS. STEPHANIE STANLEY BLACKWELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
355 OLD GLENWOOD ROAD, MARION, NC 28752-2405
(828) 659-7810
(828) 652-3310
Mailing address
PO BOX 2012, OLD FORT, NC 28762-2012
(828) 659-7810
(828) 652-3310
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5302
NC
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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