DR. Stacy L Moffenbier, DDS

NPI #1396769949 in Omaha, Nebraska

Provider Information

NPI Number
1396769949
Entity Type
Individual
Name
DR. Stacy L Moffenbier, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Periodontics
Credential
DDS
Enumeration Date
Jul 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
11414 W CENTER RD
Address 2
SUITE #234
City
Omaha
ZIP Code
68144-4486
Phone
(402) 933-0300

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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