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Individual

KELLY STANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
NAVAL MEDICAL READINESS TRAINING UNIT EARLE, 201 ROUTE 34 S BUILDING C3, COLTS NECK, NJ 07722
(732) 866-2255
Mailing address
NAVY MEDICAL READINESS TRAINING COMMAND, 695 KINKAID ROAD, ANNAPOLIS, MD 21402
(410) 293-4378

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI00737200
NJ

Other

Enumeration date
06/15/2022
Last updated
06/15/2022
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