Individual
DR. DAVID E. STALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1646 W CHESTER PIKE, SUITE 1, WEST CHESTER, PA 19382-7995
(610) 692-8454
Mailing address
1646 W CHESTER PIKE, SUITE 1, WEST CHESTER, PA 19382-7995
(610) 692-8454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023473L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98020
BC/BS PROVIDER NUMBER
PA
Enumeration date
06/07/2006
Last updated
07/08/2007
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