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DR. DWIGHT STERLING DANBURG D.M.D.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1992308530
Individual Registrant:DR. DWIGHT STERLING DANBURG D.M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
GULF C.I. MAIN 500 IKE STEELE ROAD WEWAHITCHKA, FL 32465 US
Tel: 850-639-7462 Fax: --
Tel: 850-639-7462 Fax: --
Contact information for business:
GULF C.I. MAIN 500 IKE STEELE ROAD WEWAHITCHKA, FL 32465 US
Tel: 850-639-7462 Fax: --
Tel: 850-639-7462 Fax: --
Registration Information:
NPI: 1992308530
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 122300000X | Dental Providers Dentist | FL | DTC144 |
| Y | 122300000X | Dental Providers Dentist | LA | 2096 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
