Individual
STEPHEN EDWARD SCHALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
285 W MAIN ST, SUITE 203, SAYVILLE, NY 11782-2540
(631) 589-5088
Mailing address
285 W MAIN ST, SUITE 203, SAYVILLE, NY 11782-2540
(631) 589-5088
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30407
NY
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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