Robert W Staley JR. DDS

NPI 1679632509 - Dentist - 122300000X

NPI Details
NPI 1679632509
Gender Male
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4372 LIBERTY RD S
SALEM OR, 97302, US
Phone (503) 581-3727
Fax
Business Location
4372 LIBERTY RD S
SALEM OR, 97302, US
Phone (503) 581-3727
Fax
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number 5100
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According to our database, Robert W Staley JR. DDS NPI is 1679632509, taxonomy code is 122300000X and license number is 5100, license state is located at Oregon. Robert W Staley JR. DDS physically located at 4372 Liberty Rd S, Salem OR, 97302. NPI Number Robert W Staley JR. DDS has the Individual type.

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1679632509 NPI number is provided on an as is basis without warranty of any kind. 1679632509 is maintained by the National Plan & Provider Enumeration System. The contents of Robert W Staley JR. DDS are for informational purposes only.