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Organization

NORTH APPLETON DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA KATZENMAIER RDH (OWNER)
(920) 734-7730
Entity
Organization

Contact information

Practice address
3521 COMMERCE CT, APPLETON, WI 54911-8579
(920) 734-7730
Mailing address
W5840 GERANIUM DR, APPLETON, WI 54915-5662
(920) 954-8216

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023464344
DENTAL
WI
01
1144676990
DENTAL
WI
01
1255348637
DENTAL
WI
01
1578874426
DENTAL
WI
Enumeration date
08/21/2017
Last updated
06/16/2018
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