Organization
DAVID J EMANUEL DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOHN EMANUEL DDS (OWNER)
(920) 739-4246
Entity
Organization
Contact information
Practice address
1033 W COLLEGE AVE, SUITE 200, APPLETON, WI 54914-5290
(920) 739-4246
(920) 739-4567
Mailing address
1033 W COLLEGE AVE, SUITE 200, APPLETON, WI 54914-5290
(920) 739-4246
(920) 739-4567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3588
WI
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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