Individual
MISS STEPHANIE COLLEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HYG
Contact information
Practice address
946 N WESTERN AVE, SAN PEDRO, CA 90732-2427
(310) 831-0735
(310) 831-9784
Mailing address
946 N WESTERN AVE, SAN PEDRO, CA 90732-2427
(310) 831-0735
(310) 831-9784
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25202
CA
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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