Individual
DR. STEPHANIE PHAN GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2859 CARIBBEAN CV, SHREVEPORT, LA 71105-2763
(916) 531-1952
Mailing address
2859 CARIBBEAN CV, SHREVEPORT, LA 71105-2763
(916) 531-1952
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60771
CA
Other
Enumeration date
04/11/2013
Last updated
03/06/2019
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