Individual
DR. JAMES CLYDE STAUP JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 257-9556
Mailing address
3152 GREEN TURTLE DR, DAYTON, OH 45414-1700
(937) 264-0732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-02-0132
OH
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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