Individual
STEPHANIE HENAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0442000433
VA
1223P0221X
Pediatric Dentistry
Primary
0401418451
VA
Other
Enumeration date
06/29/2021
Last updated
07/21/2026
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