Individual
ROBERT L STACEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1930 BLUE MESA CT, LOVELAND, CO 80538-4125
(970) 667-2040
Mailing address
1930 BLUE MESA CT, LOVELAND, CO 80538-4125
(970) 667-2040
(970) 667-2042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CO6828
CO
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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