Individual
STEPHANIE A STOUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2600
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2600
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
07740
IA
Other
Enumeration date
08/31/2006
Last updated
07/30/2021
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