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Organization

DENNIS K STOLLER DDS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD ALAN STOLLER DDS (PRESIDENT)
(309) 346-4446
Entity
Organization

Contact information

Practice address
1608 BROADWAY RD, PEKIN, IL 61554-3806
(309) 346-4446
(309) 353-2267
Mailing address
1608 BROADWAY RD, PEKIN, IL 61554-3806
(309) 346-4446
(309) 353-2267

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
05/23/2007
Last updated
08/22/2020
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