Individual
DR. WILLIAM BRANDON STOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3505 N STATE ROAD 15, SUITE A, WARSAW, IN 46582-5503
(574) 269-1199
(574) 269-4452
Mailing address
3505 N STATE ROAD 15, SUITE A, WARSAW, IN 46582-5503
(574) 269-1199
(574) 269-4452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010074
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12010074
STATE LICENSE
IN
Enumeration date
02/16/2007
Last updated
07/08/2007
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