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Carol Stockhausen, DDS

Dentist in Connell, WA. Individual provider (NPI-1).

NPI number1124576129
StatusActive
Last updated in NPPESSep 19, 2016

Details

NPI
1124576129
Entity type
Individual (NPI-1)
Name
Carol Stockhausen
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Sep 19, 2016
Last updated
Sep 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDE60679859WAYes

Practice location

1301 N Ephrata Ave
Connell, WA 99326-9601

Phone 509-543-5800

Mailing address

250 Gage Blvd Apt A-2001
Richland, WA 99352-9605

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