Micki Stafko-Douglass, RDH

NPI #1609239714 in Craig, Colorado

Provider Information

NPI Number: 1609239714
Entity Type: Individual
Name: Micki Stafko-Douglass, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Apr 5, 2016
Last Updated: Apr 5, 2016

Practice Location

Address: 745 RUSSELL ST
City: Craig
State: Colorado
ZIP Code: 81625-2019
Phone: (970) 824-8233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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