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1124127949
RICHARD GRANT STALEY
SACRAMENTO, CA
NPI
1124127949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 28819)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
DR. RICHARD GRANT STALEY DDS
5215 GARFIELD AVE
SACRAMENTO, CA 95841-3101
Phone number: 916-331-4781
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Mailing Address
DR. RICHARD GRANT STALEY DDS
5215 GARFIELD AVE
SACRAMENTO, CA 95841-3101
Phone number: 916-331-4781
Copy
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