Organization
APPLEWHITE DENTAL WISCONSIN, P.C.
Active
Parent organization
APPLEWHITE DENTAL WISCONSIN, P.C.
Other names
New Berlin, New Berlin Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
APPLEWHITE DENTAL WISCONSIN, P.C.
Authorized official
EMMY MONTES (CBO SUPERVISOR)
(563) 582-1448
Entity
Organization
Contact information
Practice address
4010 S CHURCH DR, NEW BERLIN, WI 53151-5608
(563) 582-1448
(563) 552-1326
Mailing address
40 MAIN ST STE 103, DUBUQUE, IA 52001-7641
(563) 582-1448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
07/29/2019
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