Individual
DR. CHARLES BERNARD STULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
VA LOMA LINDA HEALTHCARE SYSTEM 160 11201 BENTON ST, LOMA LINDA, CA 92357-0001
(909) 583-6127
(909) 777-3293
Mailing address
4133 LOS PADRES DR, FALLBROOK, CA 92028-9143
(760) 731-9432
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
51765
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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