Individual
DR. KEITH L. STUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
351 W IOWA AVE, NAMPA, ID 83686
(208) 463-9600
(208) 461-3156
Mailing address
351 W IOWA AVE, NAMPA, ID 83686
(208) 463-9600
(208) 461-3156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3315
ID
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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