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Individual

DR. WILLIAM VERMONT STENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
(918) 458-3628

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6965
KS
1223P0300X
Periodontics
Primary
30951
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9330951
OK
Enumeration date
12/18/2006
Last updated
05/20/2025
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