| NPI | 1093880536 |
|---|---|
| Doing Business As | STOCKTON DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN F PETRAS Dentist 815-947-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020198) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-08-16 |