Individual
TOM A STAMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1020 OCONOMOWOC PKWY, OCONOMOWOC, WI 53066-4621
(262) 567-8386
Mailing address
1020 OCONOMOWOC PKWY, OCONOMOWOC, WI 53066-4621
(262) 567-8386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3954-015
WI
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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