Most Relevant Information
Provider Data
| NPI Number: | 1003027699 |
| Provider Name: | STACI R IANIRO D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223E0200X |
| Specialty: | Dentist |
| License Number: | 54730 |
Most Important Dates
| Enumeration Date: | 05/24/2007 |
| Last Updated: | 09/09/2008 |
Provider Practice Location
2559 WESTERN TRAILS BLVD
SUITE 302
AUSTIN
TX
787451565
Practice Location Phone/Fax
| Phone: | 5124395755 |
| Fax: | 5124395744 |
Provider Mailing Location
2559 WESTERN TRAILS BLVD
SUITE 302
AUSTIN
TX
787451565
Provider Mailing Phone/Fax
| Phone: | 5124395755 |
| Fax: | 5124395744 |