DR. Gary Edward Staadt, D.D.S.

NPI #1093843823 in Brazil, Indiana

Provider Information

NPI Number
1093843823
Entity Type
Individual
Name
DR. Gary Edward Staadt, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1204 E NATIONAL AVE
City
Brazil
State
Indiana
ZIP Code
47834-2718
Phone
(812) 446-1211

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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