Individual
KURRIE KRYSTAL STENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2607 GILLIONVILLE RD, ALBANY, GA 31707-3003
(229) 883-9001
Mailing address
2607 GILLIONVILLE RD, ALBANY, GA 31707-3003
(229) 883-9001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN014903
GA
1223G0001X
General Practice Dentistry
Primary
DN014903
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2012
Last updated
12/08/2014
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