Organization
APPLEWHITE DENTAL WISCONSIN, P.C.
Active
Parent organization
APPLEWHITE DENTAL WISCONSIN, P.C.
Other names
Pewaukee Dental
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
1231 GEORGE TOWNE DR STE D, PEWAUKEE, WI 53072-2756
(563) 582-1448
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
08/13/2018
Last updated
07/29/2019
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