Individual
STEPHIE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 PINE LOG RD, AIKEN, SC 29803-7396
(803) 226-9244
Mailing address
367 MCKINLEY BLVD, PARAMUS, NJ 07652-4766
(201) 916-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD.9940.GD
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
02/06/2023
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