Kelly Stanford, RDH

NPI #1780314419 in Colts Neck, New Jersey

Provider Information

NPI Number: 1780314419
Entity Type: Individual
Name: Kelly Stanford, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 15, 2022
Last Updated: Jun 15, 2022

Practice Location

Address: NAVAL MEDICAL READINESS TRAINING UNIT EARLE
Address 2: 201 ROUTE 34 S BUILDING C3
City: Colts Neck
State: New Jersey
ZIP Code: 07722
Phone: (732) 866-2255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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