Edward Clark Sturdivant, DDS

NPI #1639456395 in Port Townsend, Washington

Provider Information

NPI Number: 1639456395
Entity Type: Individual
Name: Edward Clark Sturdivant, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 9, 2011
Last Updated: Nov 9, 2011

Practice Location

Address: 1119 LAWRENCE STREET
City: Port Townsend
State: Washington
ZIP Code: 98368-2224
Phone: (360) 385-5121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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