Stockton Dental Center | |
120 W Front Ave Stockton IL 61085-1318 | |
(815) 947-3700 | |
(817) 947-9058 |
Full Name | Stockton Dental Center |
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Speciality | Dentist - General Practice |
Location | 120 W Front Ave, Stockton, Illinois |
Authorized Official Name and Position | Stephen F Petras (DENTIST) |
Authorized Official Contact | 8159473700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stockton Dental Center 120 W Front Ave Stockton IL 61085-1318 Ph: (815) 947-3700 | Stockton Dental Center 120 W Front Ave Stockton IL 61085-1318 Ph: (815) 947-3700 |
NPI Number | 1093880536 |
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Provider Enumeration Date | 11/21/2006 |
Last Update Date | 08/16/2007 |
Identifier | Type | State | Issuer |
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1093880536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (Illinois) | Primary |