Individual
CAROL BETH VANDER STOEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
11 TALL OAKS TRL, AUSTIN, TX 78737-9306
(512) 288-3331
Mailing address
11 TALL OAKS TRL, AUSTIN, TX 78737-9306
(512) 288-3331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4863
TX
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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