| Brenna Hamrick-stotts,d.d.s.,ind. | |
|
1150 Brookside Ave Suite T Redlands CA 92373-6300 | |
| (909) 793-9711 | |
| Not Available |
| Full Name | Brenna Hamrick-stotts,d.d.s.,ind. |
|---|---|
| Speciality | Dentist |
| Location | 1150 Brookside Ave, Redlands, California |
| Authorized Official Name and Position | Brenna L Hamrick-stotts (PRESIDENT) |
| Authorized Official Contact | 9097939711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenna Hamrick-stotts,d.d.s.,ind. 1150 Brookside Ave Suite T Redlands CA 92373-6300 Ph: (909) 793-9711 | Brenna Hamrick-stotts,d.d.s.,ind. 1150 Brookside Ave Suite T Redlands CA 92373-6300 Ph: (909) 793-9711 |
| NPI Number | 1629283676 |
|---|---|
| Provider Enumeration Date | 05/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629283676 | NPI | - | NPPES |
| 1902924335 | Other | CA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 35264 (California) | Primary |
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