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Individual

DR. STACI R IANIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2559 WESTERN TRAILS BLVD, SUITE 302, AUSTIN, TX 78745-1565
(512) 439-5755
(512) 439-5744
Mailing address
2559 WESTERN TRAILS BLVD, SUITE 302, AUSTIN, TX 78745-1565
(512) 439-5755
(512) 439-5744

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
23676
TX
1223E0200X
Endodontics
54730
CA

Other

Enumeration date
05/24/2007
Last updated
09/09/2008
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