Individual
MRS. STEPHANIE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 5TH AND TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-7324
Mailing address
436 5TH AND TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-7324
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
05019DHAT
TX
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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