NPI 1356946404
Stephanie a Avery, RDH
Practice location
- Address
- 1166 SW Main Blvd, Lake City, FL 32025-5780
- Phone
- (386) 752-7373
- Fax
- (386) 487-1265
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1356946404
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Dec 2020
- Record last updated
- 4 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.