DR. Staci R Blaha, D.D.S.

NPI #1134226194 in Platte City, Missouri

Provider Information

NPI Number
1134226194
Entity Type
Individual
Name
DR. Staci R Blaha, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Sep 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2204 KENTUCKY AVE
ZIP Code
64079-7628
Phone
(816) 858-3838

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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