Organization
AFFORDABLE DENTISTRY OF IL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MATTHEW STEGMANN (DENTIST/OWNER)
(618) 286-4400
Entity
Organization
Contact information
Practice address
195 S MAIN ST, DUPO, IL 62239-1347
(618) 286-4400
Mailing address
195 S MAIN ST, DUPO, IL 62239-1347
(618) 286-4400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
319017393
IL
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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