Most Relevant Information
Provider Data
| NPI Number: | 1003046368 |
| Provider Name: | STEPHANIE MICHELLE IRWIN RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 15510 |
Most Important Dates
| Enumeration Date: | 07/21/2009 |
| Last Updated: | 07/21/2009 |
Provider Practice Location
804 S CROWLEY RD
SUITE 16
CROWLEY
TX
760363665
Practice Location Phone/Fax
| Phone: | 8172971300 |
| Fax: | 8172977320 |
Provider Mailing Location
804 S CROWLEY RD
SUITE 16
CROWLEY
TX
760363665
Provider Mailing Phone/Fax
| Phone: | 8172971300 |
| Fax: | 8172977320 |