Individual
DR. DOUGLAS ALLEN STILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13458 CANYON VIEW DR, YUCAIPA, CA 92399-5805
(909) 224-6149
Mailing address
13458 CANYON VIEW DR, YUCAIPA, CA 92399-5805
(909) 224-6149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38754
CA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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