Individual
DR. STACIE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
674 LAKE JOY ROAD, KATHLEEN, GA 31047
(217) 540-5100
Mailing address
674 LAKE JOY ROAD, KATHLEEN, GA 31047
(217) 540-5100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015465
GA
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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