Individual
KELLY J STOWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.D.H.
Contact information
Practice address
240 W. JEFFERSON STREET, SPRING GREEN, WI 53588
(608) 588-2122
(608) 588-5192
Mailing address
1250 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 588-2122
(608) 588-9152
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5411-016
WI
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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