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1417060856
SCOTT RICHARD STANKE
PERU, IL
NPI
1417060856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: IL 021001676)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
-- SCOTT RICHARD STANKE DDS
2050 MARQUETTE RD SUITE 400
PERU, IL 61354-1597
Phone number: 815-224-4144
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Mailing Address
-- SCOTT RICHARD STANKE DDS
2050 MARQUETTE RD SUITE 400
PERU, IL 61354-1597
Phone number: 815-224-4144
Copy
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