Organization
STACY POOLE, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY POOLE DMD (ORTHODONTIST)
(805) 922-4778
Entity
Organization
Contact information
Practice address
1505 SHEPARD DR STE 101, SANTA MARIA, CA 93454-7016
(805) 922-4778
(805) 928-9811
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
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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