Individual
DR. PAUL EDWIN STUCK JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1300 5TH ST, BEAVER, PA 15009-1853
(724) 775-7600
Mailing address
1300 5TH ST, BEAVER, PA 15009-1853
(724) 775-7600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018167L
PA
Other
Enumeration date
08/03/2005
Last updated
07/08/2007
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