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Organization

MDC APPLETON S

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM MAUTHE III D.D.S. (OWNER)
(920) 948-6407
Entity
Organization

Contact information

Practice address
1707 S ONEIDA ST, APPLETON, WI 54915-1302
(920) 734-2392
Mailing address
101 CAMELOT DR, SUITE 3, FOND DU LAC, WI 54935-8048
(920) 948-6407

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/24/2013
Last updated
07/24/2013
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