Organization
BRENNA HAMRICK-STOTTS,D.D.S.,IND.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENNA L HAMRICK-STOTTS D.D.S. (PRESIDENT)
(909) 793-9711
Entity
Organization
Contact information
Practice address
1150 BROOKSIDE AVE, SUITE T, REDLANDS, CA 92373-6300
(909) 793-9711
Mailing address
1150 BROOKSIDE AVE, SUITE T, REDLANDS, CA 92373-6300
(909) 793-9711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902924335
NPI TYPE 1
CA
Enumeration date
05/12/2007
Last updated
08/22/2020
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