Individual
DR. STEPHANIE BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
BASE NATIONAL CAPITAL REGION CLINIC-USCG HEADQUARTERS, 2703 MARTIN LUTHER KING JR AVE SE STOP 7118, WASHINGTON, DC 20593-7118
(202) 475-5175
Mailing address
BASE NATIONAL CAPITAL REGION CLINIC-USCG HEADQUARTERS, 2703 MARTIN LUTHER KING JR AVE SE STOP 7118, WASHINGTON, DC 20593-7118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000007620
TN
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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