Individual
DR. ADELE STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1580 HOOKS ST STE B, CLERMONT, FL 34711-3585
(352) 292-0670
Mailing address
16729 EAST COLONIAL DRIVE, SUITE 151, ORLANDO, FL 32820
(407) 378-2453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22019
FL
Other
Enumeration date
08/31/2016
Last updated
05/03/2022
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