DR. Gary R. Stamm, D.D.S.

NPI #1710901020 in Peoria, Illinois

Provider Information

NPI Number: 1710901020
Entity Type: Individual
Name: DR. Gary R. Stamm, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4507 N STERLING AVE
Address 2: SUITE 306
City: Peoria
State: Illinois
ZIP Code: 61615-3824
Phone: (309) 685-0444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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