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Individual
DANIEL JOHN STACKOWICZ
Active
Individual
DANIEL JOHN STACKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5162
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2014
Last updated
12/11/2020
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