STEPHEN C ROEHM

PEORIA, IL
NPI1902058985
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  1915903)
Enumeration Date2008-10-21
Last Update Date2008-10-21
Business Address
-- STEPHEN C ROEHM D.D.S., M.S.
5006 N UNIVERSITY ST
PEORIA, IL 61614-4715
Phone number: 309-691-9665
Mailing Address
-- STEPHEN C ROEHM D.D.S., M.S.
5006 N UNIVERSITY ST
PEORIA, IL 61614-4715
Phone number: 309-691-9665