Individual
TINA SUE LUCAS STONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
28435 W ARAPAHO AVE, CANTON, MO 63435-2067
(217) 653-2781
Mailing address
28435 W ARAPAHO AVE, CANTON, MO 63435-2067
(217) 653-2781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019028129
IL
1223G0001X
General Practice Dentistry
Primary
2020009925
MO
Other
Enumeration date
09/02/2009
Last updated
12/10/2024
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