Individual
DR. KIMBERLEY A STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10020 NICHOLAS ST, SUITE 101, OMAHA, NE 68114-2189
(402) 393-7020
(402) 393-6780
Mailing address
10020 NICHOLAS ST, SUITE 101, OMAHA, NE 68114-2189
(402) 393-7020
(402) 393-6780
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5786
NE
Other
Enumeration date
10/23/2006
Last updated
08/08/2023
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