Dr. Stephen C. Waller, Dds, LLC
NPI #1992984173 in Ellington, Missouri
Provider Information
- NPI Number
- 1992984173
- Entity Type
- Organization
- Organization Name
- Dr. Stephen C. Waller, Dds, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 24, 2007
- Last Updated
- Jan 22, 2009
Practice Location
Authorized Official
- Name
- DR. STEPHEN C. WALLER, D.D.S.
- Title
- DENTIST
- Phone
- (573) 756-4344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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