Provider Demographics
NPI:1952498222
Name:SCOTT A. STROMMER & LESLIE S. STROMMER,DDS,INC.
Entity Type:Organization
Organization Name:SCOTT A. STROMMER & LESLIE S. STROMMER,DDS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:STROMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-280-9100
Mailing Address - Street 1:7510 HAZARD CENTER DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4521
Mailing Address - Country:US
Mailing Address - Phone:619-280-9100
Mailing Address - Fax:619-280-9110
Practice Address - Street 1:7510 HAZARD CENTER DR
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4521
Practice Address - Country:US
Practice Address - Phone:619-280-9100
Practice Address - Fax:619-280-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA393391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty