Stater Dental

NPI #1720478878 in Centerville, Iowa

Provider Information

NPI Number: 1720478878
Entity Type: Organization
Organization Name: Stater Dental
Primary Specialty: Dentist
Enumeration Date: Jan 28, 2015
Last Updated: Jan 28, 2015

Practice Location

Address: 112 N 10TH ST
City: Centerville
State: Iowa
ZIP Code: 52544-1730
Phone: (641) 856-8643

Authorized Official

Name: DR. CRAIG DOUGLAS STATER, DMD
Title: DENTIST
Phone: (641) 856-8643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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