Individual
DR. STACY LYNNE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1505 SHEPARD DR, SANTA MARIA, CA 93454-7020
(805) 922-4778
Mailing address
1505 SHEPARD DR STE 101, SANTA MARIA, CA 93454-7016
(805) 922-4778
(805) 928-9811
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58439
CA
Other
Enumeration date
11/21/2008
Last updated
09/01/2022
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