NPI | 1356562631 |
---|---|
Doing Business As | STUTSMAN DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHAD G. STUTSMAN Owner 574-533-8934 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-05-02 |
Last Update Date | 2017-07-10 |