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Mr. Charles R Stucken SR., DDS
General Practice Physician in Downey, California
NPI 1902884125

Charles R Stucken SR. is a General Practice Physician based in Downey, CA. Charles R Stucken SR. practices in Downey, CA and has the professional credentials of DDS. The NPI Number for Charles R Stucken SR. is 1902884125 and holds a License No. 28992 (California).

The current practice location address for Charles R Stucken SR. is 8847 Imperial Hwy, Downey, CA and can be reached out via phone at 562-861-4011 and via fax at 562-861-2601.

Location: 8847 Imperial Hwy, Downey, CA, 90242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902884125
Provider Name
Charles R Stucken SR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8847 Imperial Hwy, Downey, CA, 90242
Phone Number
562-861-4011
Fax Number
562-861-2601
Provider Enumeration Date
01/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B2899201 01 CA MEDI CAL
institution
Provider Business Practice Location Address Details
Address
8847 Imperial Hwy
City
Downey
State
California
Zip
90242
Phone Number
562-861-4011
Fax Number
562-861-2601
person
Provider Business Mailing Address Details
Address
8847 Imperial Hwy
City
Downey
State
California
Zip
90242
Phone Number
562-861-4011
Fax Number
562-861-2601
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
28992 (California)
Definition
Definition to come...
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