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JEFFREY ALAN STOLARZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1032 119TH ST, WHITING, IN 46394-1514
(219) 659-7060
(219) 659-2118
Mailing address
1032 119TH ST, WHITING, IN 46394-1514
(219) 659-7060
(219) 659-2118

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010194A
IN

Other

Enumeration date
01/09/2007
Last updated
09/17/2014
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