Individual
STEPHANIE L REDWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
3074 ARVILLE ST, LAS VEGAS, NV 89102-7490
(702) 889-3763
Mailing address
3074 ARVILLE ST, LAS VEGAS, NV 89102-7490
(702) 889-3763
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3626
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507897
—
NV
Enumeration date
12/13/2006
Last updated
03/09/2012
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