Individual
DR. DOMINIQUE OLIVIA STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
173 S 32ND ST, CAMP HILL, PA 17011-5102
(717) 798-8660
Mailing address
904 N 3RD ST APT 5, HARRISBURG, PA 17102-2054
(813) 557-4476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045959
PA
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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