Individual
STEPHANIE TUCKER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
223 E POWERS DR, EASLEY, SC 29640-2534
(864) 201-0683
Mailing address
223 E POWERS DR, EASLEY, SC 29640-2534
(864) 201-0683
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8495
SC
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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