Organization
STACEY C. LAYMAN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY C LAYMAN DDS (OWNER)
(623) 979-1900
Entity
Organization
Contact information
Practice address
7200 W BELL RD, SUITE C3, GLENDALE, AZ 85308-8529
(623) 979-1900
(623) 979-4913
Mailing address
7200 W BELL RD, SUITE C3, GLENDALE, AZ 85308-8529
(623) 979-1900
(623) 979-4913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5894
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6547120001
MEDICARE PTAN
AZ
Enumeration date
06/17/2015
Last updated
06/17/2015
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