Kurt Daniel Stormberg in La Mesa - Orthodontics And Dentofacial Orthopedics

Kurt Daniel Stormberg - NPI 1316063779

Kurt Daniel Stormberg is a Orthodontics And Dentofacial Orthopedics in La Mesa, California. Kurt Daniel Stormberg practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kurt Daniel Stormberg is 1316063779. The last update date is 2007-07-08.

Kurt Daniel Stormberg's current location address is 4333 Palm Ave, La Mesa, California. You can contact this provider via phone number 6194624462 and fax number 6194628267. The mailing address for Kurt Daniel Stormberg is 4333 Palm Ave, La Mesa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kurt Daniel Stormberg
Address 4333 Palm Ave, La Mesa, California
Phone Number 6194624462
Fax Number 6194628267
Sole Proprietor N
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1316063779
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4333 Palm Ave
City La Mesa
State California (CA)
Post Code 919416529
Phone Number 6194624462
Fax Number 6194628267

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 42701
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Kurt Daniel Stormberg

What is the Kurt Daniel Stormberg's unique identification number?

The Kurt Daniel Stormberg has been assigned the NPI (National Provider Identifier) Number 1316063779 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kurt Daniel Stormberg is physically located?

The Kurt Daniel Stormberg is physically situated at the following address: 4333 Palm Ave, La Mesa, CA, 919416529.

What is Kurt Daniel Stormberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kurt Daniel Stormberg is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.

On what date did the Kurt Daniel Stormberg receive the assignment of its 1316063779 from the Centers for Medicare & Medicaid Services?

The Kurt Daniel Stormberg was issued its 1316063779 by the Centers for Medicare & Medicaid Services on 2007-03-21.

As of what date were the Kurt Daniel Stormberg's details last updated?

The information pertaining to the Kurt Daniel Stormberg, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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