Tera Staffon

NPI #1639720980 in Beloit, Wisconsin

Provider Information

NPI Number: 1639720980
Entity Type: Individual
Name: Tera Staffon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Sep 26, 2019
Last Updated: Sep 26, 2019

Practice Location

Address: 74 ECLIPSE CTR
City: Beloit
State: Wisconsin
ZIP Code: 53511-3550
Phone: (608) 361-0311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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