Individual
CAROL STOLLENWERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
200 S EXECUTIVE DR STE 101, BROOKFIELD, WI 53005-4216
(888) 964-6681
Mailing address
200 S EXECUTIVE DR STE 101, BROOKFIELD, WI 53005-4216
(888) 964-6681
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
494616
WI
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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