Individual
FALLON L STIENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3524 US HIGHWAY 169, STANBERRY, MO 64489-8210
(660) 783-2205
(660) 783-9021
Mailing address
PO BOX 203, 3524 US HWY 169, STANBERRY, MO 64489-0203
(660) 783-2205
(660) 783-9021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2013016353
MO
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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