| NPI | 1316029028 |
|---|---|
| Doing Business As | STACEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES STACEY Owner 608-222-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-07-21 |