Individual
DR. STACI J GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4035 S DURANGO DR, #103, LAS VEGAS, NV 89147-4161
(702) 804-8888
(702) 804-0559
Mailing address
526 S TONOPAH DR, STE. 200, LAS VEGAS, NV 89106-4043
(702) 291-2031
(702) 366-1483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6314
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215283056
—
NV
Enumeration date
07/30/2012
Last updated
06/28/2016
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