Organization
DF ROBERSON & WJ STAPLETON DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA D FITZGERALD (OFFICE MANAGER)
(618) 259-5200
Entity
Organization
Contact information
Practice address
1075 HARRISON ST, WOOD RIVER, IL 62095-1867
(618) 259-5200
(618) 259-3181
Mailing address
1075 HARRISON ST, WOOD RIVER, IL 62095-1867
(618) 259-5200
(618) 259-3181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019012551
IL
Other
Enumeration date
10/04/2006
Last updated
07/31/2008
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