Individual
DR. COURY STAADECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
405 ROCKEFELLER, 504, IRVINE, CA 92612-7188
(619) 665-2705
Mailing address
1441 AVOCADO AVE, 405, NEWPORT BEACH, CA 92660-7721
(949) 640-9475
(949) 640-2621
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
48025
CA
Other
Enumeration date
01/09/2007
Last updated
05/17/2012
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