Individual
DR. BRUCE KENNETH STOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2300 S OLD HIGHWAY 94, SAINT CHARLES, MO 63303-5622
(636) 928-8400
(636) 928-0480
Mailing address
17400 EMILY WAY CT, CHESTERFIELD, MO 63005-4252
(636) 530-9558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013967
MO
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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