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Organization
STONE FALLS DENTAL CARE, LLC
Active
Organization
STONE FALLS DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLEIGH PRANE D.M.D (OWNER)
(618) 624-2800
Entity
Organization
Contact information
Practice address
4945 STONE FALLS CTR, SUITE A, O FALLON, IL 62269-7801
(618) 624-2800
(618) 551-2288
Mailing address
4945 STONE FALLS CTR, SUITE A, O FALLON, IL 62269-7801
(618) 624-2800
(618) 551-2288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19026282
IL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/10/2014
Last updated
07/03/2014
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