Carol Stockhausen, DDS

NPI #1124576129 in Connell, Washington

Provider Information

NPI Number: 1124576129
Entity Type: Individual
Name: Carol Stockhausen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 19, 2016
Last Updated: Sep 19, 2016

Practice Location

Address: 1301 N EPHRATA AVE
City: Connell
State: Washington
ZIP Code: 99326-9601
Phone: (509) 543-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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