DR. Randy A Stauffer, DDS

NPI #1134263114 in Elkhart, Indiana

Provider Information

NPI Number: 1134263114
Entity Type: Individual
Name: DR. Randy A Stauffer, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 920 E MISHAWAKA RD
City: Elkhart
State: Indiana
ZIP Code: 46517-3226
Phone: (574) 293-3416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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