Organization
DENTAL EXPRESSIONS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HEIL DDS (PRESIDENT)
(920) 428-5416
Entity
Organization
Contact information
Practice address
N3946 COLUMBIA AVE, FREEDOM, WI 54130-7552
(920) 788-6280
Mailing address
623 E TALLGRASS DR, APPLETON, WI 54913-7505
(920) 428-5416
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5139-15
WI
Other
Enumeration date
03/19/2014
Last updated
01/07/2022
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