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STACIE LYNNE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
930 S ALAMO ST, SAN ANTONIO, TX 78205-3419
(210) 227-0101
Mailing address
3015 LAKE MEADOW ST, SAN ANTONIO, TX 78222-2425
(210) 367-4729

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
21363
TX
126800000X
Dental Assistant
37325
TX

Other

Enumeration date
01/12/2018
Last updated
03/17/2018
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