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Organization
STOCKTON DENTAL CENTER, INC.
Active
Organization
STOCKTON DENTAL CENTER, INC.
Active
Other names
Stockton Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN F PETRAS DMD (DENTIST)
(815) 947-3700
Entity
Organization
Contact information
Practice address
120 W FRONT AVE, STOCKTON, IL 61085-1318
(815) 947-3700
(817) 947-9058
Mailing address
120 W FRONT AVE, STOCKTON, IL 61085-1318
(815) 947-3700
(817) 947-9058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/21/2006
Last updated
08/16/2007
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