Healthcare Provider Details

I. General information

NPI: 1679704266
Provider Name (Legal Business Name): DAVID H STERMER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 PACIFIC AVE
LONG BEACH CA
90806-3051
US

IV. Provider business mailing address

PO BOX 93122
LONG BEACH CA
90809-3122
US

V. Phone/Fax

Practice location:
  • Phone: 562-959-0731
  • Fax:
Mailing address:
  • Phone: 562-424-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number35032
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: