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Organization
STITH ORAL AND MAXILLOFACIAL SURGERY, LTD.
Active
Organization
STITH ORAL AND MAXILLOFACIAL SURGERY, LTD.
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT DENNIS STITH D.D.S (ORAL AND MAXILLOFACIAL SURGEON)
(630) 208-6700
Entity
Organization
Contact information
Practice address
1131 RANDALL CT, GENEVA, IL 60134-3911
(630) 208-6700
(630) 208-6709
Mailing address
1131 RANDALL CT, GENEVA, IL 60134-3911
(630) 208-6700
(630) 208-6709
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
019017449
IL
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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