Individual
DR. RANDY R CIEPLUCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3500 W LISBON AVE, MILWAUKEE, WI 53208-1953
(414) 342-0378
(414) 342-1008
Mailing address
3500 W LISBON AVE, MILWAUKEE, WI 53208-1953
(414) 342-0378
(414) 342-1008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2260-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33387500
—
WI
Enumeration date
11/02/2005
Last updated
07/09/2007
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