Organization
EMBRACE WISCONSIN S.C.
Active
Other names
Engage Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN HIETPAS (ADMINISTRATIVE ASSISTANT)
(920) 739-5822
Entity
Organization
Contact information
Practice address
2001 S MATTHIAS ST, APPLETON, WI 54915-7229
(920) 739-5822
Mailing address
2001 S MATTHIAS ST, APPLETON, WI 54915-7229
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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