Individual
ALISA STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2381 NE CONNERS AVE, BEND, OR 97701-6068
(888) 468-0022
Mailing address
2381 NE CONNERS AVE, BEND, OR 97701-6068
(888) 468-0022
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6696
OR
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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