STEPHEN L RIDER

KEWANEE, IL
NPI1699887729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019-017260)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- STEPHEN L RIDER DDS
125 WEST SOUTH STREET SUITE #10
KEWANEE, IL 61443
Phone number: 309-852-2525
Mailing Address
-- STEPHEN L RIDER DDS
125 WEST SOUTH STREET SUITE #10
KEWANEE, IL 61443
Phone number: 309-852-2525
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