Individual
SANDRA MARIE PIEFER-TOMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1415 NORTH 8TH STREET, MANITOWOC, WI 54220-2051
(920) 899-4676
(920) 682-7374
Mailing address
1415 NORTH 8TH STREET, MANITOWOC, WI 54220-2051
(920) 899-4676
(920) 682-7374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI5419-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33785400
—
WI
Enumeration date
08/25/2006
Last updated
07/08/2007
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