Individual
MRS. GLORIA GILMAN STAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
6601 S RURAL RD, TEMPE, AZ 85283-3794
(480) 831-5200
Mailing address
2155 W OLLA AVE, MESA, AZ 85202-7983
(480) 831-7209
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5484
AZ
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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