Individual
DR. KENT WAYNE STAPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1259 N POWER RD, MESA, AZ 85205-4909
(480) 830-8946
(480) 854-3869
Mailing address
1259 N POWER RD, MESA, AZ 85205-4909
(480) 830-8946
(480) 854-3869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4551
AZ
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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