Organization
NORTHSTAR DENTAL GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER D HEHLI DDS (OWNER DENTIST)
(920) 997-1557
Entity
Organization
Contact information
Practice address
5760 GRANDE MARKET DR, APPLETON, WI 54913
(920) 997-1557
(920) 997-0688
Mailing address
5760 GRAND MARKET DR, APPLETON, WI 54913
(920) 997-1557
(920) 997-0688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/20/2006
Last updated
08/22/2020
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