Whalio Doctors

NPI 1003027699

Staci R Ianiro, DDS

Practitioner Endodontics Austin, TX

Practice location

Address
2559 Western Trails Blvd Suite 302, Austin, TX 78745-1565
Phone
(512) 439-5755
Fax
(512) 439-5744

Registered specialties (2)

Endodontics Primary
Dental Providers Taxonomy 1223E0200X Licence 23676 (TX)
Endodontics
Dental Providers Taxonomy 1223E0200X Licence 54730 (CA)

Registry record

NPI
1003027699
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 May 2007
Record last updated
9 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.