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1316228687
STEPHANIE M COLLETTA
OAK LAWN, IL
NPI
1316228687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.028819)
Enumeration Date
2011-08-31
Last Update Date
2015-01-08
Business Address
Dr. STEPHANIE M COLLETTA D.D.S.
10735 S CICERO AVE SUITE 107
OAK LAWN, IL 60453-5400
Phone number: 708-423-4110
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Mailing Address
Dr. STEPHANIE M COLLETTA D.D.S.
1150 W 15TH ST UNIT 234
CHICAGO, IL 60608-3686
Phone number: 206-660-5093
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