Organization
STEPHEN C. VANTASELL, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN C VANTASELL DDS (PRESIDENT)
(641) 472-3158
Entity
Organization
Contact information
Practice address
51 W ADAMS AVE, FAIRFIELD, IA 52556-3471
(641) 472-3158
(641) 469-5111
Mailing address
51 W ADAMS AVE, FAIRFIELD, IA 52556-3471
(641) 472-3158
(641) 469-5111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5802
IA
122300000X
Dentist
6820
IA
Other
Enumeration date
01/15/2008
Last updated
07/17/2008
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