DR. James Clyde Staup JR., DDS
NPI #1366439820 in Wright Patterson Afb, Ohio
Provider Information
- NPI Number
- 1366439820
- Entity Type
- Individual
- Name
- DR. James Clyde Staup JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 30, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4881 SUGAR MAPLE DR
- State
- Ohio
- ZIP Code
- 45433-5546
- Phone
- (937) 257-9556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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