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Individual

DR. STEPHEN J MENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1530 S RANGELINE RD, JOPLIN, MO 64804
(417) 624-5797
(417) 624-2582
Mailing address
1530 S RANGELINE RD, JOPLIN, MO 64804
(417) 624-5797
(417) 624-2582

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15099
MO

Other

Enumeration date
09/08/2006
Last updated
09/10/2008
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