Individual
MITCHELL R STUMPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13035 OLIVE BLVD, SUITE #214, CREVE COEUR, MO 63141-6173
(314) 205-0111
Mailing address
1832 MISTY MOSS DR, SAINT LOUIS, MO 63146-4210
(618) 978-6499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2010022943
MO
Other
Enumeration date
08/05/2010
Last updated
02/07/2011
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