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Individual
DR. COLLIN MILES STUTZ
Active
Individual
DR. COLLIN MILES STUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2014015503
MO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2014006169
MO
Other
Enumeration date
04/10/2010
Last updated
09/07/2014
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