Individual
LONNIE STURKEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13629 MONTEREY CT, VICTORVILLE, CA 92392-6361
(760) 964-2056
Mailing address
13629 MONTEREY CT, VICTORVILLE, CA 92392-6361
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
OA49112
CA
126800000X
Dental Assistant
Primary
RDA85936
CA
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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