Organization
GRAND VIEW FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY BENNETT (OFFICE MANAGER)
(920) 996-0123
Entity
Organization
Contact information
Practice address
381 S KOOLS ST, APPLETON, WI 54914-3932
(920) 996-0123
(920) 735-0123
Mailing address
381 S KOOLS ST, APPLETON, WI 54914
(920) 996-0123
(920) 735-0123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
10/23/2018
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