| NPI | 1841571973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NICHOLAS STELLPFLUG Owner/Dentist 920-887-8079 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 1352G) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |