Organization
STANLEY HOMETOWN DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GUNELSON DDS (OWNER)
(715) 644-3601
Entity
Organization
Contact information
Practice address
120 W 4TH AVE, STANLEY, WI 54768-1002
(715) 644-3601
(715) 644-3687
Mailing address
120 W 4TH AVE, STANLEY, WI 54768-1002
(715) 644-3601
(715) 644-3687
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6399015
WI
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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