Scott Richard Stanke, DDS
NPI #1417060856 in Peru, Illinois
Provider Information
- NPI Number
- 1417060856
- Entity Type
- Individual
- Name
- Scott Richard Stanke, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Periodontics
- Credential
- DDS
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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