Individual
DR. DARRYL STICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13905 W BURLEIGH RD, BROOKFIELD, WI 53005-3036
(262) 786-8440
Mailing address
13905 W BURLEIGH RD, BROOKFIELD, WI 53005-3036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5416-015
WI
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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