Individual
MS. SERENA TERESA STANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAP
Contact information
Practice address
1035 NE 6TH ST, STE B, GRANTS PASS, OR 97526-1298
(541) 479-6393
(541) 479-6489
Mailing address
2116 SW FORD ST, GRANTS PASS, OR 97526-8324
(541) 479-6393
(541) 479-6489
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3673
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127725
—
OR
Enumeration date
05/06/2008
Last updated
05/06/2008
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