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Individual

DOUGLAS MARCEL STADLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3168 TURNER ST, SUITE 300, PLACERVILLE, CA 95667-5756
(530) 622-5640
(530) 622-8819
Mailing address
3168 TURNER ST, SUITE 300, PLACERVILLE, CA 95667-5756
(530) 622-5640
(530) 622-8819

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39211
CA

Other

Enumeration date
09/27/2006
Last updated
07/08/2007
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