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Individual

KEELY MARIE STOFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2641 8TH AVE S, NASHVILLE, TN 37204-2483
(615) 784-5104
Mailing address
805 DIVISION ST APT 808, NASHVILLE, TN 37203-5970
(501) 701-0484

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12525
TN

Other

Enumeration date
06/14/2024
Last updated
06/14/2024
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