Individual
MS. HEATHER RAE STOCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1225 TROPICAL AVE, PASADENA, CA 91107-1718
(818) 653-2403
Mailing address
1225 TROPICAL AVE, PASADENA, CA 91107-1718
(818) 653-2403
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
33867
CA
124Q00000X
Dental Hygienist
Primary
924
CA
Other
Enumeration date
11/21/2021
Last updated
08/11/2022
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