Organization
ALICIA STEPHENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA STEPHENS DDS (OWNER)
(253) 520-0100
Entity
Organization
Contact information
Practice address
431 E WARD ST, KENT, WA 98030-4537
(253) 520-0100
(253) 520-0100
Mailing address
431 E WARD ST, KENT, WA 98030-4537
(253) 520-0100
(253) 520-0100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010031
WA
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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