Individual
STACIA HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 S STARK ST, BENNINGTON, NE 68007-5158
(402) 238-2434
Mailing address
PO BOX 166, BENNINGTON, NE 68007-0166
(402) 238-2434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7766
NE
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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