Organization
WISCONSIN TONGUE TIE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ROBERT APPLETON (COO)
(920) 347-3735
Entity
Organization
Contact information
Practice address
1300 W MAIN AVE STE 150, DE PERE, WI 54115-9366
(920) 336-6594
Mailing address
1300 W MAIN AVE STE 150, DE PERE, WI 54115-9366
(920) 336-6594
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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