Organization
STAUDHAMMER DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JUNE STAUDHAMMER DDS (PRESIDENT)
(760) 245-8616
Entity
Organization
Contact information
Practice address
15366 ELEVENTH ST STE G, VICTORVILLE, CA 92395-3726
(760) 245-8616
(760) 245-4490
Mailing address
15366 ELEVENTH ST STE G, VICTORVILLE, CA 92395-3726
(760) 245-8616
(760) 245-4490
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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