Individual
STEPHANIE STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13514 E 32ND AVE # A, SPOKANE VALLEY, WA 99216-6002
(425) 892-3456
Mailing address
5211 S MYRTLE LN, SPOKANE, WA 99223-7861
(425) 892-3456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61052144
WA
1223G0001X
General Practice Dentistry
6939
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/07/2016
Last updated
06/03/2025
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