Individual
DR. CORY STACPOOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 SUTTER ST STE 707, SAN FRANCISCO, CA 94102-1116
(415) 781-2781
(415) 781-1782
Mailing address
500 SUTTER ST STE 707, SAN FRANCISCO, CA 94102-1116
(415) 781-2781
(415) 781-1782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29482
CA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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