Individual
DR. RICHARD H STAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2122 N CRAYCROFT RD, #102, TUCSON, AZ 85712
(520) 296-5461
Mailing address
2122 N CRAYCROFT RD, #102, TUCSON, AZ 85712
(520) 296-5461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1575
AZ
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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