Organization
APPLETON FAMILY DENTISTRY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E GOSSE (PARTNER DENTIST)
(920) 731-2356
Entity
Organization
Contact information
Practice address
2830 N MASON ST, APPLETON, WI 54914-1353
(920) 731-2356
(920) 731-5354
Mailing address
2830 N MASON ST, APPLETON, WI 54914-1353
(920) 731-2356
(920) 731-5354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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