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1659403848
ROGER GARY STANEK
APPLETON, WI
NPI
1659403848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 1138G)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Dr. ROGER GARY STANEK D.D.S.
315 W WISCONSIN AVE
APPLETON, WI 54911-4355
Phone number: 920-731-2211
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Mailing Address
Dr. ROGER GARY STANEK D.D.S.
315 W WISCONSIN AVE
APPLETON, WI 54911-4355
Phone number: 920-731-2211
Copy
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