Individual
DR. GWEN MARIE STALCUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1100 W 8TH ST, PO #38, WELLINGTON, KS 67152-3423
(620) 326-7505
(620) 326-2482
Mailing address
1100 W 8TH ST, PO #38, WELLINGTON, KS 67152-3423
(620) 326-7505
(620) 326-2482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6314
KS
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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