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1427127604
DONALD J. STATEN
SPRINGFIELD, IL
NPI
1427127604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019020642)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
-- DONALD J. STATEN D.M.D
2041 W ILES AVE SUITE B
SPRINGFIELD, IL 62704-7005
Phone number: 217-546-8000
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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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