Individual
DR. RICHARD C. STALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
601 EWING ST, SUITE B10, PRINCETON, NJ 08540-2757
(609) 921-6610
(609) 921-1518
Mailing address
601 EWING ST, SUITE B10, PRINCETON, NJ 08540-2757
(609) 921-6610
(609) 921-1518
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
13176
NJ
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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