Whalio Doctors

NPI 1083774285

Stacie Anne Elson, RDA

Practitioner Dental Assistant Modesto, CA

Practice location

Address
1130 Coffee Rd STE 9a, Modesto, CA 95355-4228
Phone
(209) 571-7283
Fax
(209) 571-7285

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X Licence 29984 (CA)

Registry record

NPI
1083774285
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Dec 2006
Record last updated
8 Jul 2007

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.