Individual
STEPHANIE M STRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1638 W 24 HIGHWAY, INDEPENDENCE, MO 64050
(816) 461-6911
(816) 461-3975
Mailing address
1638 W 24 HIGHWAY, INDEPENDENCE, MO 64050
(816) 461-6911
(816) 461-3975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2007015584
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407045608
—
MO
Enumeration date
06/07/2007
Last updated
04/24/2019
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