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1902058985
STEPHEN C ROEHM
PEORIA, IL
NPI
1902058985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 1915903)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
-- STEPHEN C ROEHM D.D.S., M.S.
5006 N UNIVERSITY ST
PEORIA, IL 61614-4715
Phone number: 309-691-9665
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Mailing Address
-- STEPHEN C ROEHM D.D.S., M.S.
5006 N UNIVERSITY ST
PEORIA, IL 61614-4715
Phone number: 309-691-9665
Copy
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