Individual
MS. DEBORAH KAY STAPLES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
896 E 2ND ST, JAMESTOWN, NY 14701-3826
(716) 661-1431
Mailing address
3632 TOWERVILLE RD, SINCLAIRVILLE, NY 14782-9643
(716) 985-4051
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0189271
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189271
RDH LICENSE
NY
Enumeration date
10/14/2005
Last updated
07/08/2007
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