DR. Edward Lee Staudt, DDS

NPI #1992807960 in Ft Orange, Florida

Provider Information

NPI Number
1992807960
Entity Type
Individual
Name
DR. Edward Lee Staudt, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Sep 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
944 BRIDGEWATER DR
Address 2
2B
State
Florida
ZIP Code
32129
Phone
(386) 756-8953

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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