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NPI Code Detail

MEDICARE: DR. ALBERT FARRER STEUNENBERG DDS

MEDICARE: DR. ALBERT FARRER STEUNENBERG DDS
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
11223S0112XOral and Maxillofacial Surgery (Dentist)20469CA

General Provider Information

NPI Number : 1912977240
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERT FARRER STEUNENBERG DDS
Provider Business Mailing Address
First Line : 2541 ROLLING HILLS CT
Second Line :
City : ALAMO
State : CA
Zip : 94507-2320
Country : US
Telephone Number : 925-820-2758
Fax Number : 510-886-0469
Provider Business Practice Location Address
First Line : 201 WALNUT AVE
Second Line : VA MARE ISLAND DENTAL SERVICE
City : VALLEJO
State : CA
Zip : 94592-1107
Country : US
Telephone Number : 707-562-8225
Fax Number : 707-562-8247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 07/08/2007

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