Individual
MOLLY ELIZABETH STICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7000
Mailing address
2514 JUDSON AVE, ALTON, IL 62002-4718
(217) 371-0516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031168
IL
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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