Thora Jane Stacy, CDAEFDA
Thora Jane Stacy, CDAEFDA is a Dental Assistant in Salem, Oregon. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
2300 N.e Lacncaster DrSalem, OR 97303
Phone: (503) 370-4313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Assistant (primary) | Taxonomy 126800000X |
|---|
Record details
| NPI number | 1245590553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CDAEFDA |
| Sole proprietor | No |
| NPI enumerated | May 21, 2012 |
| Last updated in NPPES | May 21, 2012 |
| Mailing address | 4255 Cordon Rd Ne, Salem, OR 97305-3738 |
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Amy Lynn Shelton, RDH
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