MEDICARE: SCOTT A. STROMMER & LESLIE S. STROMMER,DDS,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	39339	CA

General Provider Information

NPI Number	:	1952498222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT A. STROMMER & LESLIE S. STROMMER,DDS,INC.

Provider Business Mailing Address
First Line	:	7510 HAZARD CENTER DR
Second Line	:	SUITE 203
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4521
Country	:	US
Telephone Number	:	619-280-9100
Fax Number	:	619-280-9110

Provider Business Practice Location Address
First Line	:	7510 HAZARD CENTER DR
Second Line	:	SUITE 203
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4521
Country	:	US
Telephone Number	:	619-280-9100
Fax Number	:	619-280-9110

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. SCOTT A STROMMER
Credential	:	DDS
Telephone Number	:	619-280-9100

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	06/23/2010

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