Organization
STEPHANIE M DELICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE M DELICE DDS (DENTIST)
(770) 474-6111
Entity
Organization
Contact information
Practice address
3579 HWY 138, 202, STOCKBRIDGE, GA 30281
(770) 474-6111
(770) 474-5897
Mailing address
3579 HIGHWAY 138 SE STE 202, STOCKBRIDGE, GA 30281-6807
(770) 474-6111
(770) 474-5897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011843
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000925064C
—
GA
01
—
001563854
UNITED CONCORDIA
GA
Enumeration date
03/15/2007
Last updated
07/28/2008
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