Individual
DR. GARY R. STAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4507 N STERLING AVE, SUITE 306, PEORIA, IL 61615-3824
(309) 685-0444
(309) 685-1302
Mailing address
4507 N. STERLING AVENUE, SUITE 306, PEORIA, IL 61615-3861
(309) 685-0444
(309) 685-1302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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