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Individual
ROBERT W STALEY JR.
Active
Individual
ROBERT W STALEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5100
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182899
OMAP
OR
Enumeration date
12/06/2006
Last updated
07/08/2007
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