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1649394214
MARC SHANTZ
APPLETON, WI
NPI
1649394214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 3839-015)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- MARC SHANTZ
381 S KOOLS ST
APPLETON, WI 54914-3932
Phone number: 920-996-0123
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Mailing Address
-- MARC SHANTZ
381 S KOOLS ST
APPLETON, WI 54914-3932
Phone number: 920-996-0123
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