MRS. Stacy M Branthoover, LDH

NPI #1558030395 in Clayton, Indiana

Provider Information

NPI Number: 1558030395
Entity Type: Individual
Name: MRS. Stacy M Branthoover, LDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: LDH
Enumeration Date: Sep 7, 2021
Last Updated: Sep 7, 2021

Practice Location

Address: 195 W COUNTY ROAD 600 S
City: Clayton
State: Indiana
ZIP Code: 46118-9295
Phone: (317) 777-0142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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