Ianiro, Staci R
Ianiro, Staci R is an sole proprietor health care provider with primary practice located at 2559 Western Trails Blvd Suite 302, Austin TX 78745-1565. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Ianiro, Staci R can be contacted via phone (512) 439-5755.Contact Information
Primary practice address
2559 Western Trails Blvd Suite 302
Austin TX 78745-1565
Phone: (512) 439-5755
Fax: (512) 439-5744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 54730 | California |
| Dental Providers / Endodontics | 1223E0200X | 23676 | Texas |
Profile Details
| NPI number | 1003027699 |
|---|---|
| LBN Legal business name | Ianiro, Staci R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Sep 9th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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