Individual
STEVEN JOHN STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1029 E PARK BLVD, SUITE #100, BOISE, ID 83712
(208) 344-9054
(208) 422-0217
Mailing address
1029 E PARK BLVD, SUITE #100, BOISE, ID 83712
(208) 344-9054
(208) 422-0217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3483
ID
Other
Enumeration date
08/04/2006
Last updated
07/05/2023
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