Individual
NATALIE M STAUB
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1051 BEACON ST, SUITE 409, BROOKLINE, MA 02446-5685
(617) 277-0033
Mailing address
81 GREGORY ST, WALTHAM, MA 02451-2151
(617) 869-5662
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10358
MA
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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