Individual
LYDIA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
U.S.A DENTAL HEALTH ACTIIVITY, 652 HAMILIMTON RD, HEADQUARTERS, FORT.SILL, OK 73503
(580) 442-5925
Mailing address
U.S.A DENTAL HEALTH ACTIIVITY, 4301 WILSON ST , OFFICE GD152, FORT SILL, OK 73503
(580) 442-5925
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1672
OK
Other
Enumeration date
03/04/2021
Last updated
02/10/2022
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