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Organization

STOLLER DENTAL CLINIC PC

Active
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Organization

STOLLER DENTAL CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLEN R STOLLER DDS (PRESIDENT)
(260) 589-2110
Entity
Organization

Contact information

Practice address
525 W PARR RD, BERNE, IN 46711-1131
(260) 589-2110
(260) 589-8512
Mailing address
525 W PARR RD, BERNE, IN 46711-1131
(260) 589-2110
(260) 589-8512

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12007524A
IN
261QD0000X
Dental Clinic/Center
Primary
54001449A
IN

Other

Enumeration date
06/05/2007
Last updated
09/11/2025
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