Individual
DR. AGNES T STOCKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5060 LOGAN AVE, SAN DIEGO, CA 92113-3014
(949) 413-4090
Mailing address
5060 LOGAN AVE, SAN DIEGO, CA 92113-3014
(949) 413-4090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108649
CA
122300000X
Dentist
DS041481
PA
Other
Enumeration date
09/19/2017
Last updated
06/06/2025
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