Stacy Eden, DDS

NPI #1114248085 in Tigard, Oregon

Provider Information

NPI Number: 1114248085
Entity Type: Individual
Name: Stacy Eden, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 15, 2010
Last Updated: Jun 11, 2020

Practice Location

Address: 11820 SW KING JAMES PL
Address 2: J10
City: Tigard
State: Oregon
ZIP Code: 97224-2480
Phone: (503) 616-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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