Staci Rene Coberly, RDH

NPI #1417636945 in Salida, Colorado

Provider Information

NPI Number: 1417636945
Entity Type: Individual
Name: Staci Rene Coberly, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jul 12, 2023
Last Updated: Jul 12, 2023

Practice Location

Address: 1203 D ST
City: Salida
State: Colorado
ZIP Code: 81201-2742
Phone: (785) 443-1707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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