Organization
RANDY R CIEPLUCH DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY R CIEPLUCH DDS (OWNER)
(414) 342-0378
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
2260-15
WI
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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