Individual
DR. JUSTIN STUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
211 SWANSON AVE # 101, LAKE HAVASU CITY, AZ 86403-0926
(928) 854-8540
Mailing address
1727 E CHESTNUT BLVD, LAKE HAVASU CITY, AZ 86404-8410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011021
AZ
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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