| Staudhammer Dental Corporation | |
|
15366 Eleventh St Ste G Victorville CA 92395-3726 | |
| (760) 245-8616 | |
| (760) 245-4490 |
| Full Name | Staudhammer Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15366 Eleventh St Ste G, Victorville, California |
| Authorized Official Name and Position | Debra June Staudhammer (PRESIDENT) |
| Authorized Official Contact | 7602458616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staudhammer Dental Corporation 15366 Eleventh St Ste G Victorville CA 92395-3726 Ph: (760) 245-8616 | Staudhammer Dental Corporation 15366 Eleventh St Ste G Victorville CA 92395-3726 Ph: (760) 245-8616 |
| NPI Number | 1912576521 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 06/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912576521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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