Organization
ALAN M. STOLL, DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN M. STOLL (PRESIDENT)
(573) 248-0071
Entity
Organization
Contact information
Practice address
6 DIAMOND BLVD, HANNIBAL, MO 63401-2257
(573) 248-0071
(573) 248-1016
Mailing address
6 DIAMOND BLVD, HANNIBAL, MO 63401
(573) 248-0071
(573) 248-1016
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13715
MO
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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