Individual
DR. DALE SCOTT STAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7407 47TH AVE NE, MARYSVILLE, WA 98270
(360) 659-6288
(360) 657-5522
Mailing address
7407 47TH AVE NE, MARYSVILLE, WA 98270
(360) 659-6288
(360) 657-5522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5044151
—
WA
01
—
8001
DELTA DENTAL
WA
01
—
970259
UNITED CONCORDIA
—
Enumeration date
11/02/2006
Last updated
07/08/2007
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