Individual
DR. DANIEL LUIS STUARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3900 FIFTH AVE STE 270, SAN DIEGO, CA 92103-3137
(619) 810-1864
Mailing address
4243 BONITA RD APT 20, BONITA, CA 91902-1430
(619) 925-1985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS104402
CA
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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