Individual
DR. STEPHANIE M DELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3579 HIGHWAY 138, SUITE 202, STOCKBRIDGE, GA 30281-4142
(770) 474-6111
(770) 474-5897
Mailing address
3579 HIGHWAY 138, SUITE 202, STOCKBRIDGE, GA 30281-4142
(770) 474-6111
(770) 474-5897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06-16020
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000925064C
—
GA
Enumeration date
07/02/2006
Last updated
07/08/2007
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