NPI | 1598400681 |
---|---|
Doing Business As | STUMPF DENTAL |
Entity Type | Organization |
Authorized Contact | WILLIAM A CAPUTO Owner And Sole Member 224-595-0942 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-05-03 |