Individual
CLIFFORD CARL SPRUNG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
W28550 SUSSEX RD, MERTON, WI 53056-0003
(262) 538-0892
(262) 538-2695
Mailing address
PO BOX 3, MERTON, WI 53056-0003
(262) 538-0892
(262) 538-2695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3018
WI
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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