Individual
MS. STACY BENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
617 17 RD, THURSTON, NE 68062-3050
(402) 380-0653
Mailing address
617 17 RD, THURSTON, NE 68062-3050
(402) 380-0653
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2133
NE
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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