Provider Demographics
NPI:1174765804
Name:STANLEY ARMBRUSTER DDS
Entity type:Organization
Organization Name:STANLEY ARMBRUSTER DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR,
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:ARMBRUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-673-9460
Mailing Address - Street 1:3404 VIA LIDO
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3968
Mailing Address - Country:US
Mailing Address - Phone:949-673-9460
Mailing Address - Fax:949-723-6927
Practice Address - Street 1:3404 VIA LIDO
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3968
Practice Address - Country:US
Practice Address - Phone:949-673-9460
Practice Address - Fax:949-723-6927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA288431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty