Organization
DR TOM STATZ DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GILBERT STATZ DDS (DENTIST)
(715) 835-8311
Entity
Organization
Contact information
Practice address
1608 OHM AVE, EAU CLAIRE, WI 54701
(715) 835-8311
(715) 835-8311
Mailing address
1608 OHM AVE, EAU CLAIRE, WI 54701
(715) 835-8311
(715) 835-8311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001497015
WI
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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