Individual
DR. EDWARD R STUEDLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
909 ADAMS AVE, LA GRANDE, OR 97850-2570
(541) 663-2728
Mailing address
8441 DEHLINGER LN, KLAMATH FALLS, OR 97603-9708
(541) 884-9621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5132
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5132
STATE OF OREGON DENTAL BOARD
OR
Enumeration date
04/30/2008
Last updated
04/30/2008
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