Stahl, Bryan David

Stahl, Bryan David is an individual health care provider with primary practice located at 1109 Lincoln Ave , Fox River Grove IL 60021. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stahl, Bryan David can be contacted via phone (847) 516-1933.

Contact Information

Primary practice address
1109 Lincoln Ave Fox River Grove IL 60021
Phone: (847) 516-1933
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1154431765
LBN Legal business name Stahl, Bryan David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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