SCOTT WAYNE STIFFLE

CHICAGO, IL
NPI1912176967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.017448)
Enumeration Date2008-02-25
Last Update Date2008-02-25
Business Address
-- SCOTT WAYNE STIFFLE DDS
2758 N RACINE AVE
CHICAGO, IL 60614-1206
Phone number: 773-348-0565
Mailing Address
-- SCOTT WAYNE STIFFLE DDS
2758 N RACINE AVE
CHICAGO, IL 60614-1206
Phone number: 773-348-0565
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