Individual
STACY TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1261 FURNACE BROOK PKWY STE 12A, QUINCY, MA 02169-4762
(617) 472-3700
Mailing address
1261 FURNACE BROOK PKWY STE 12A, QUINCY, MA 02169-4762
(617) 472-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL10955
MA
122300000X
Dentist
Primary
DN1855737
MA
Other
Enumeration date
06/28/2010
Last updated
06/17/2023
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