Individual
DR. DAVID J STODDARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 N CUSTER, GRAND ISLAND, NE 68803
(308) 384-0534
(308) 384-4094
Mailing address
1607 S HARRISON, GRAND ISLAND, NE 68803
(308) 381-2541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4665
NE
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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