Individual
DR. HENRY CRAIG SCHUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
714 ELVIRA AVE UNIT B, REDONDO BEACH, CA 90277-4616
(314) 504-5964
Mailing address
714 ELVIRA AVE UNIT B, REDONDO BEACH, CA 90277-4616
(314) 504-5964
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54324
CA
Other
Enumeration date
12/20/2006
Last updated
11/22/2022
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