Robert W Staley JR., DDS

NPI #1679632509 in Salem, Oregon

Provider Information

NPI Number: 1679632509
Entity Type: Individual
Name: Robert W Staley JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4372 LIBERTY RD S
City: Salem
State: Oregon
ZIP Code: 97302
Phone: (503) 581-3727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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