Individual
STEPHANIE STEELE COUPERUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
US ARMY DENTAC BLDG 9900 FL 2, LINCOLN ST., TACOMA, WA 98431-0001
(253) 968-4029
Mailing address
US ARMY DENTAC BLDG 9900 FL 2, LINCOLN ST., TACOMA, WA 98431-0001
(253) 968-4029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012153A
IN
122300000X
Dentist
DE 60715475
WA
Other
Enumeration date
07/29/2014
Last updated
03/15/2017
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