Individual
STANLEY MELVIN SOKOLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
824 MISSION ST, SANTA CRUZ, CA 95060-3681
(831) 426-1056
Mailing address
824 MISSION ST, SANTA CRUZ, CA 95060-3681
(831) 426-1056
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21409
CALIFORNIA DENTAL LICENSE NUMBER
CA
Enumeration date
02/07/2014
Last updated
02/07/2014
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