Thomas Ray Stater

NPI #1164118873 in Alameda, California

Provider Information

NPI Number: 1164118873
Entity Type: Individual
Name: Thomas Ray Stater
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 14, 2023
Last Updated: Apr 14, 2023

Practice Location

Address: 2111 WHITEHALL PL STE C
City: Alameda
State: California
ZIP Code: 94501-6160
Phone: (510) 523-5323

Specialties & Taxonomy Codes

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

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