Individual
DR. STEVEN D SUDBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN24404
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS028494L
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS028494L
PA
Other
Enumeration date
09/28/2006
Last updated
08/04/2020
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