DONALD J. STATEN

SPRINGFIELD, IL
NPI1427127604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019020642)
Enumeration Date2006-11-06
Last Update Date2007-07-08
Business Address
-- DONALD J. STATEN D.M.D
2041 W ILES AVE SUITE B
SPRINGFIELD, IL 62704-7005
Phone number: 217-546-8000
Mailing Address
-- DONALD J. STATEN D.M.D
2041 W ILES AVE SUITE B
SPRINGFIELD, IL 62704-7005
Phone number: 217-546-8000
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