Dr. Stephanie M Delice, DDS
Dentist, General Practice in Stockbridge, GA. Individual provider (NPI-1).
NPI number1376572271
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376572271
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephanie M Delice
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 06-16020 | GA | Yes |
Practice location
3579 Highway 138Suite 202
Stockbridge, GA 30281-4142
Phone 770-474-6111 · Fax 770-474-5897
Mailing address
3579 Highway 138Suite 202
Stockbridge, GA 30281-4142
Phone 770-474-6111 · Fax 770-474-5897
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