Individual
DR. DAVID LEE STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
38754 STATE ROAD 80, BELLE GLADE, FL 33430-5615
(561) 996-1636
Mailing address
9095 BAYBURY LN, WEST PALM BEACH, FL 33411-1889
(561) 791-0626
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN 008100
FL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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