DR. Stephanie M Colletta, D.D.S.

NPI #1316228687 in Oak Lawn, Illinois

Provider Information

NPI Number
1316228687
Entity Type
Individual
Name
DR. Stephanie M Colletta, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 31, 2011
Last Updated
Jan 8, 2015

Practice Location

Address
10735 S CICERO AVE
Address 2
SUITE 107
ZIP Code
60453-5400
Phone
(708) 423-4110

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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