Individual
JEANINE JUDITH STABULAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9129
Mailing address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9129
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
015054-1
NY
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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