| NPI | 1487968814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MATTHEW STEGMANN Dentist/Owner 618-286-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 319017393) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |