| Charles Stucken D.d.s. Professional Dental Corporation | |
|
8847 Imperial Hwy Ste C2 Downey CA 90242-3958 | |
| (562) 861-4011 | |
| Not Available |
| Full Name | Charles Stucken D.d.s. Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 8847 Imperial Hwy Ste C2, Downey, California |
| Authorized Official Name and Position | Charles Stucken (OWNER) |
| Authorized Official Contact | 5628614011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Stucken D.d.s. Professional Dental Corporation 8847 Imperial Hwy Ste C2 Downey CA 90242-3958 Ph: (562) 861-4011 | Charles Stucken D.d.s. Professional Dental Corporation 8847 Imperial Hwy Ste C2 Downey CA 90242-3958 Ph: (562) 861-4011 |
| NPI Number | 1720470735 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720470735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2892201 (California) | Primary |
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