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Individual

STEPHEN MICHAEL ITKOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
10181 N 92ND ST STE 102, SCOTTSDALE, AZ 85258-4559
(480) 391-9009
Mailing address
10181 N 92ND ST STE 102, SCOTTSDALE, AZ 85258-4559

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3291
AZ

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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