Individual
DR. STEVEN D SUDBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
800 GRANDVIEW DR, EPHRATA, PA 17522-1635
(717) 733-8645
(717) 733-9172
Mailing address
20726 SABAL ST, ORLANDO, FL 32833-5624
(717) 314-6969
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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