Individual
MS. STEPHANIE DIANNE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1220 12TH ST SE, SUITE #120, WASHINGTON, DC 20003-3722
(202) 715-7901
Mailing address
1220 12TH ST SE, SUITE #120, WASHINGTON, DC 20003-3722
(202) 715-7901
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
4956
MD
124Q00000X
Dental Hygienist
Primary
HYG1000098
DC
Other
Enumeration date
09/01/2009
Last updated
11/27/2011
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