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Individual

DR. STACY L MOFFENBIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
11414 W CENTER RD, SUITE #234, OMAHA, NE 68144-4486
(402) 933-0300
(402) 933-0302
Mailing address
11414 W CENTER RD, SUITE #234, OMAHA, NE 68144-4486
(402) 933-0300
(402) 933-0302

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5787
NE

Other

Enumeration date
07/27/2006
Last updated
07/08/2007
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