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Organization

PATRICA STIFTER D.D.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICIA STIFTER D.D.S. (DENTIST)
(708) 361-0662
Entity
Organization

Contact information

Practice address
8100 W 119TH ST, SUITE 300, PALOS PARK, IL 60464-3041
(708) 361-0662
(708) 361-0662
Mailing address
8100 W 119TH ST, SUITE 300, PALOS PARK, IL 60464-3041
(708) 361-0662
(708) 361-0662

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019019229
IL

Other

Enumeration date
01/30/2015
Last updated
01/30/2015
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