Organization
TENOR FAMILY DENTISTRY OF APPLETON
Active
Other names
Advanced Care Smile Center of Appleton
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYNN BERGENE (CHIEF OPERATING OFFICER)
(920) 860-9252
Entity
Organization
Contact information
Practice address
2600 N RICHMOND ST, APPLETON, WI 54911-1956
(920) 730-0400
Mailing address
850 ELM GROVE RD STE 25, ELM GROVE, WI 53122-2527
(920) 860-9252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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