Individual
STEPHEN E STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
502 BOND, MONETT, MO 65708
(417) 235-5419
(417) 235-8252
Mailing address
PO BOX 6, MONETT, MO 65708
(417) 235-5419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12940
MO
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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