Individual
DR. TERRILL LEE STOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
60420 US 31 S, SOUTH BEND, IN 46614-5138
(574) 291-6020
(574) 291-6051
Mailing address
60420 US 31 S, SOUTH BEND, IN 46614-5138
(574) 291-6020
(574) 291-6051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007302A
IN
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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