Organization
FOX VALLEY DENTAL ASSOC. LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E. SPRINGBORN D.D.S. (OWNER)
(920) 735-9366
Entity
Organization
Contact information
Practice address
2315 W MAIN ST, APPLETON, WI 54911-4178
(920) 735-9366
Mailing address
2315 W MAIN ST, APPLETON, WI 54911-4178
(920) 735-9366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0570G
WI
1223G0001X
General Practice Dentistry
4049.015
WI
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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