Individual
DR. DENNIS KAMMERER STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1608 BROADWAY, PEKIN, IL 61554
(309) 346-4446
(309) 346-4446
Mailing address
1608 BROADWAY, PEKIN, IL 61554
(309) 346-4446
(309) 353-2267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-012804
IL
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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