Organization
RUSSELL B STOCH DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL BRIAN STOCH D.M.D. (PRESIDENT)
(561) 627-4040
Entity
Organization
Contact information
Practice address
840 US HIGHWAY 1 STE 200, NORTH PALM BEACH, FL 33408-3859
(561) 627-4040
(561) 624-5881
Mailing address
840 US HIGHWAY 1 STE 200, NORTH PALM BEACH, FL 33408-3859
(561) 627-4040
(561) 624-5881
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN8991
FL
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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