Individual
DR. STEPHEN MORIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
219 N HAMMES AVE, JOLIET, IL 60435-8114
(815) 741-0095
(815) 741-0328
Mailing address
219 N HAMMES AVE, JOLIET, IL 60435-8114
(815) 741-0095
(815) 741-0328
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019-016675
IL
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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