Individual
DR. SABLE BRIANNE STALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
601 FRANKLIN AVE, UNIT 130, GARDEN CITY, NY 11530
(516) 699-1504
Mailing address
530 MASSACHUSETTS AVE APT 249, INDIANAPOLIS, IN 46204-2331
(765) 480-8318
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
062213-01
NY
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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