Organization
RLJ DENTAL S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY R LANG (VICE PRESIDENT)
(920) 731-1213
Entity
Organization
Contact information
Practice address
3432 N ASSOCIATION DRIVE, APPLETON, WI 54914-1479
(920) 731-1213
(920) 731-1620
Mailing address
3432 N ASSOCIATION DRIVE, APPLETON, WI 54914-1479
(920) 731-1213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5069015
WI
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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