Individual
CHRISTINA GILES STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 DUNCAN AVE, JEFFERSONVILLE, IN 47130-3759
(812) 283-2308
Mailing address
1319 DUNCAN AVE, JEFFERSONVILLE, IN 47130-3759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014208A
IN
122300000X
Dentist
9745
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100587990
—
KY
Enumeration date
04/11/2016
Last updated
09/25/2023
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