DR. Stacey Marie Cerven, DMD

NPI #1710161930 in Granite Falls, Washington

Provider Information

NPI Number: 1710161930
Entity Type: Individual
Name: DR. Stacey Marie Cerven, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Dec 24, 2007
Last Updated: Dec 24, 2007

Practice Location

Address: 405 S. GRANITE AVE
City: Granite Falls
State: Washington
ZIP Code: 98252-0959
Phone: (360) 691-7793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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