Individual
STEPHANIE WOOLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 SW BOND ST STE 100, BEND, OR 97702-3798
(541) 389-3073
Mailing address
400 SW BOND ST STE 100, BEND, OR 97702-3798
(541) 389-3073
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11438
OR
Other
Enumeration date
02/26/2019
Last updated
10/27/2021
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