Individual
MS. PEGGY SUSAN STANSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 W BELL RD, SUITE 9, PHOENIX, AZ 85053-2750
(602) 978-2890
(602) 978-5794
Mailing address
4025 W BELL RD, SUITE 9, PHOENIX, AZ 85053-2750
(602) 978-2890
(602) 978-5794
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D05583
AZ
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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