Individual
STANLEY MELVIN SOKOLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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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