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Organization
STALLER DENTAL & ASSOCIATES
Active
Organization
STALLER DENTAL & ASSOCIATES
Active
Other names
Nathaniel R. Staller, D.D.S., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL RAYMOND STALLER DDS (PRESIDENT)
(561) 637-9300
Entity
Organization
Contact information
Practice address
5869 W ATLANTIC AVE, SUITE A2A, DELRAY BEACH, FL 33484-8402
(561) 637-9300
(561) 637-1718
Mailing address
5869 W ATLANTIC AVE, SUITE A2A, DELRAY BEACH, FL 33484-8402
(561) 637-9300
(561) 637-1718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN7779
FL
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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