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Individual

RICHARD A STACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1201 BETZ ROAD, BELLEVUE, NE 68005-3024
(402) 291-3721
(402) 291-7566
Mailing address
1201 BETZ ROAD, BELLEVUE, NE 68005-3024
(402) 291-3721
(402) 291-7566

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5510
NE

Other

Enumeration date
03/15/2007
Last updated
08/09/2023
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