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Individual
DR. ANDREW RUSSEL STEIDLEY
Active
Individual
DR. ANDREW RUSSEL STEIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8749417-9921
UT
122300000X
Dentist
D10325
OR
1223E0200X
Endodontics
8749417-9921
UT
1223E0200X
Endodontics
D10325
OR
1223E0200X
Endodontics
Primary
DE60792883
WA
Other
Enumeration date
08/13/2013
Last updated
03/13/2024
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