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Organization

APPLEWHITE DENTAL WISCONSIN, P.C.

Active
Parent organization
APPLEWHITE DENTAL WISCONSIN, P.C.
Other names
JoAnn Martens, DDS
Organization subpart
Yes

Provider details

NPI number
Legal business name
APPLEWHITE DENTAL WISCONSIN, P.C.
Authorized official
SHARON L LOSO (CREDENTIALING SPECIALIST)
(563) 582-1448
Entity
Organization

Contact information

Practice address
1125 STEPHENSON LN, WAUNAKEE, WI 53597-2516
(608) 849-4424
(608) 849-4426
Mailing address
40 MAIN ST STE 100, DUBUQUE, IA 52001-7654
(563) 582-1448

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/26/2019
Last updated
07/29/2019
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