Individual
DR. STACEY Y CHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6130 FIRESTONE BLVD UNIT 503, FIRESTONE, CO 80504-6935
(720) 774-6087
Mailing address
999 S LOGAN ST APT 230, DENVER, CO 80209-5814
(201) 394-4141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202677
CO
Other
Enumeration date
10/20/2015
Last updated
07/28/2022
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