| Alicia Stephens | |
|
431 E Ward St Kent WA 98030-4537 | |
| (253) 520-0100 | |
| (253) 520-0100 |
| Full Name | Alicia Stephens |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 431 E Ward St, Kent, Washington |
| Authorized Official Name and Position | Alicia Stephens (OWNER) |
| Authorized Official Contact | 2535200100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Stephens 431 E Ward St Kent WA 98030-4537 Ph: (253) 520-0100 | Alicia Stephens 431 E Ward St Kent WA 98030-4537 Ph: (253) 520-0100 |
| NPI Number | 1396021895 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 10/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396021895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00010031 (Washington) | Primary |
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