Stephen C. Vantasell, D.d.s.,p.c.

NPI #1336325844 in Fairfield, Iowa

Provider Information

NPI Number: 1336325844
Entity Type: Organization
Organization Name: Stephen C. Vantasell, D.d.s.,p.c.
Primary Specialty: Dentist
Enumeration Date: Jan 15, 2008
Last Updated: Jul 17, 2008

Practice Location

Address: 51 W ADAMS AVE
City: Fairfield
State: Iowa
ZIP Code: 52556-3471
Phone: (641) 472-3158

Authorized Official

Name: DR. STEPHEN C VANTASELL, DDS
Title: PRESIDENT
Phone: (641) 472-3158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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